Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | MD-6210 | HI |
NPI | 1053483123 |
---|---|
Provider Name | Dr. Elna M. Masuda |
First Address | Honolulu, HI 96813-3097 |
Second Address | Honolulu, HI 96813-3009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2006 |
Last Update Date | 16/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0000078899 | HMSA (01) | HI |
059432 01 | (05) | HI |
7738444 | UHA (01) | HI |
E57490 | (02) | HI |