| NPI | 1699271429 |
|---|---|
| Other Name | TOM PHAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 1014416) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 1014416) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2023-07-18 |