| NPI | 1336710136 |
|---|---|
| Other Name | PAUL NAM PHONG NGUYEN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: TX 692165) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: MO 2021025316) |
| Enumeration Date | 2021-07-02 |
| Last Update Date | 2024-07-17 |