Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | A137673 | CA |
NPI | 1043630726 |
---|---|
Provider Name | Dr. Andrew Jordan Sun |
First Address | Honolulu, HI 96813-2412 |
Second Address | Honolulu, HI 96813-2412 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2014 |
Last Update Date | 03/08/2020 |