Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 5101022661 | MI |
NPI | 1013367523 |
---|---|
Provider Name | Gia-Hau Nguyen |
First Address | Monroe, MI 48162-3074 |
Second Address | Monroe, MI 48162 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2016 |
Last Update Date | 28/06/2018 |