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Individual
THAI HO
Active
Individual
THAI HO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01089280A
IN
207P00000X
Emergency Medicine Physician
Primary
U9000
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
IN
Other
Enumeration date
04/06/2021
Last updated
05/08/2024
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