Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD-16073 | HI |
N | 2080P0208X | Pediatric Infectious Diseases | 0066848 | CO |
N | 2080P0208X | Pediatric Infectious Diseases | 233360 | NY |
Y | 2080P0208X | Pediatric Infectious Diseases | 64418 | AZ |
NPI | 1346261799 |
---|---|
Provider Name | Dr. Christopher M Oberholzer |
First Address | Tripler Army Medical Center, HI 96859-5001 |
Second Address | Tripler Army Medical Center, HI 96859-5001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 10/12/2021 |