| NPI | 1407897473 |
|---|---|
| Other Name | GEORGE PHUC HUY TRUONG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A36401) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A36401) |
| 208D00000X General Practice (Licence: MN 25537) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2012-01-17 |