NPI | 1477227916 |
---|---|
Former Name | GIA HOANG NGUYEN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX 1135584) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 30073) |
Enumeration Date | 2021-08-07 |
Last Update Date | 2025-01-17 |