# DAT VU

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1982151353
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367H00000X | Anesthesiologist Assistant | 8171 | GA | — |
| 367H00000X | Anesthesiologist Assistant | AA447 | FL | Yes |

## Other

- **Enumeration date:** 09/02/2016
- **Last updated:** 04/25/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 8171 | STATE OF GEORGIA MEDICAL BOARD | GA |
| 01 | — | AA447 | STATE OF FL DEPARTMENT OF HEALTH | FL |
