Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213EP1101X | Primary Podiatric Medicine | 36003207N | OH |
N | 213ES0103X | Foot & Ankle Surgery | 36003207N | OH |
NPI | 1093738312 |
---|---|
Provider Name | Dr. Hoang Kim Nguyen |
First Address | Dayton, OH 45428-9000 |
Second Address | Dayton, OH 45428-9000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 08/07/2007 |