| NPI | 1821160573 |
|---|---|
| Former Name | TRUNG THANH NGUYEN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA c51974) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA C51974) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2013-10-02 |