Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | A80916 | CA |
N | 208600000X | Surgeon | A80916 | CA |
Y | 2086S0120X | Pediatric Surgery | 15138 | HI |
NPI | 1578611505 |
---|---|
Provider Name | Devin P. Puapong |
First Address | Kailua, HI 96734-4504 |
Second Address | Honolulu, HI 96826-1001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2007 |
Last Update Date | 08/08/2009 |