Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | MD-7316 | HI |
NPI | 1073838819 |
---|---|
Provider Name | Dr. Gerald Patrick Durkan |
First Address | Haiku, HI 96708-5830 |
Second Address | Haiku, HI 96708-5830 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2010 |
Last Update Date | 05/04/2010 |