| NPI | 1588156202 |
|---|---|
| Other Name | RYAN THU BO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD61142454) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301115294) |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2021-08-31 |