Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | G32107 | CA |
NPI | 1043898240 |
---|---|
Provider Name | Dr. Howard Siu |
First Address | Fremont, CA 94539-5849 |
Second Address | Fremont, CA 94539-5849 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2021 |
Last Update Date | 30/03/2021 |