Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | A35572 | CA |
N | 207QA0401X | Family Doctor - Addiction Medicine | 12915 | HI |
NPI | 1558302802 |
---|---|
Provider Name | Dr. Carlos Warter |
First Address | Honolulu, HI 96816-0885 |
Second Address | Honolulu, HI 96813-3313 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
24716 | HMSA (01) | HI |
553538 | (05) | HI |
I07687 | (02) | HI |