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 |