| NPI | 1790787802 |
|---|---|
| Former Name | CUNG BUI PHAM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A81143) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 227004) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2021-06-10 |