NPI | 1659338903 |
---|---|
Former Name | PHUONG-LINH DOMAI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 27008) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2017-01289) |
Enumeration Date | 2006-04-28 |
Last Update Date | 2020-10-14 |