Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 19088 | HI |
NPI | 1124386073 |
---|---|
Provider Name | Dr. Daniel Shawn Burdick |
First Address | Honolulu, HI 96817-2488 |
Second Address | Honolulu, HI 96817-2488 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2012 |
Last Update Date | 17/03/2018 |