NPI | 1902335292 |
---|---|
Former Name | DIANA SUEWAH TRINH |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA 60927191) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WA PA60927191) |
Enumeration Date | 2017-06-08 |
Last Update Date | 2022-07-21 |