| NPI | 1790962355 |
|---|---|
| Former Name | TU PHAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD00026346) |
| Additional Taxonomies | 208D00000X General Practice (Licence: WA MD00026346) |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2014-10-07 |