Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 1221 | HI |
NPI | 1023094059 |
---|---|
Provider Name | Dr. Alan Fumio Hamamura |
First Address | Honolulu, HI 96822-1141 |
Second Address | Pearl Harbor, HI 96860-4908 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2005 |
Last Update Date | 08/07/2007 |