Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | MD11095 | HI |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD11095 | HI |
NPI | 1598749640 |
---|---|
Provider Name | Dr. Ian Oyama |
First Address | Honolulu, HI 96826-1001 |
Second Address | Honolulu, HI 96826-1001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2005 |
Last Update Date | 22/11/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
568595 | (05) | HI |
H69049 | (02) |