Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 9117 | HI |
NPI | 1164484010 |
---|---|
Provider Name | Dr. Gregory H. Chow |
First Address | Honolulu, HI 96817-6302 |
Second Address | Honolulu, HI 96817-6300 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2006 |
Last Update Date | 18/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
20174903 | (05) | HI |
VAD000 | (02) |