NPI | 1447578992 |
---|---|
Former Name | THEN VAN TONG |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA 4475) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2010-05-08 |
Last Update Date | 2014-01-20 |