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 |