| NPI | 1912279647 |
|---|---|
| Former Name | TANH HUU PHAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 33351) |
| Additional Taxonomies | 111NX0100X Chiropractor, Occupational Health (Licence: TX 11935) |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2015-07-27 |