Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician | DIO-198 | HI |
NPI | 1083367353 |
---|---|
Provider Name | Darrell J Choy |
First Address | Aiea, HI 96701-5318 |
Second Address | Aiea, HI 96701-5318 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2022 |
Last Update Date | 27/01/2022 |