Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0201X | Internist - Allergy & Immunology | MD070938L | PA |
Y | 207RI0200X | Infectious Disease | 066677 | GA |
NPI | 1144276486 |
---|---|
Provider Name | Dr. Henry Ming-Yow Wu |
First Address | Atlanta, GA 30308-2212 |
Second Address | Atlanta, GA 30308-2212 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2006 |
Last Update Date | 13/04/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001848835 | (05) | PA |
H45599 | (02) | PA |