Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | R9710 | IA |
N | 208600000X | Surgeon | R9710 | IA |
Y | 2086X0206X | Surgical Oncologist | 310531 | NY |
NPI | 1194165845 |
---|---|
Provider Name | Dr. Vincent Wu |
First Address | New York, NY 10032-3729 |
Second Address | New York, NY 10032-3729 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2013 |
Last Update Date | 03/06/2021 |