Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | G84785 | CA |
NPI | 1023218062 |
---|---|
Provider Name | Dr. Tom W Chu |
First Address | Sunnyvale, CA 94087-4003 |
Second Address | Sunnyvale, CA 94087-4003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2007 |
Last Update Date | 18/07/2007 |