Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | 3065 | HI |
NPI | 1871567008 |
---|---|
Provider Name | Dr. James E Musgrave |
First Address | Honolulu, HI 96813-2449 |
Second Address | Honolulu, HI 96813-2449 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2006 |
Last Update Date | 30/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0000948578 | (05) | HI |
C98545 | (02) | HI |