Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A80411 | CA |
Y | 2080P0208X | Pediatric Infectious Diseases | A80411 | CA |
NPI | 1295912459 |
---|---|
Provider Name | Dr. David Manh-Tung Vu |
First Address | Oakland, CA 94609-1673 |
Second Address | Oakland, CA 94609-1673 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2008 |
Last Update Date | 30/09/2014 |