| NPI | 1811299928 |
|---|---|
| Former Name | CHAY MOUA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: CA A128268) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA PA 17667) |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2014-01-10 |