NPI | 1609041789 |
---|---|
Former Name | PHUC H NGUYEN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: CA 21831) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX N8131) |
Enumeration Date | 2008-04-29 |
Last Update Date | 2024-07-12 |