Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 288997 | NY |
N | 111NI0900X | Internist | 288997 | NY |
Y | 207RN0300X | Nephrologist | 288997 | NY |
NPI | 1063702405 |
---|---|
Provider Name | Dr. David Kau |
First Address | Auburn, NY 13021-1983 |
Second Address | Auburn, NY 13021-1302 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2011 |
Last Update Date | 17/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
04778272 | (05) | NY |