| NPI | 1649833815 |
|---|---|
| Other Name | JACK DUONG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A183905) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ R77271) |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2024-04-17 |