| NPI | 1720408495 |
|---|---|
| Former Name | THANG TIEN NGUYEN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: VA 0103301186) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NC TR130) |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2021-02-12 |