Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 1290 | HI |
NPI | 1336410158 |
---|---|
Provider Name | Dr. Hideu Oshiro |
First Address | Honolulu, HI 96821 |
Second Address | Honolulu, HI 96821 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2012 |
Last Update Date | 25/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C98579 | (02) | HI |