Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 1335 | HI |
NPI | 1245342948 |
---|---|
Provider Name | Dr. Duane Toshio Fujii |
First Address | Honolulu, HI 96814-1617 |
Second Address | Honolulu, HI 96814-1617 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
UA9907 | (02) | HI |