Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | A83347 | CA |
NPI | 1023015484 |
---|---|
Provider Name | Dr. David W Wu |
First Address | Walnut Creek, CA 94598-3007 |
Second Address | Walnut Creek, CA 94598-3007 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2005 |
Last Update Date | 25/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H84212 | (02) | CA |