NPI | 1740044122 |
---|---|
Other Name | TOMMY CHU |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 5870) |
Additional Taxonomies | 363AS0400X Physician Assistant Surgical (Licence: TN 5870) |
Enumeration Date | 2024-02-07 |
Last Update Date | 2024-07-25 |