| NPI | 1891727186 |
|---|---|
| Former Name | THONG VAN NGUYEN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101261846) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 236544) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2023-06-05 |