Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | C10005662 | CA |
N | 207KA0200X | Allergist | C10005662 | CA |
N | 207RA0201X | Internist - Allergy & Immunology | C10005662 | CA |
NPI | 1912904038 |
---|---|
Provider Name | Dr. David Peter Wien |
First Address | Wilmington, DE 19808-3168 |
Second Address | Wilmington, DE 19808-3168 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2005 |
Last Update Date | 08/07/2007 |