| NPI | 1386243830 |
|---|---|
| Former Name | KHOA DANG NGUYEN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11009845) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11009845) |
| Enumeration Date | 2020-10-25 |
| Last Update Date | 2025-02-28 |