Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 12445 | HI |
NPI | 1174634067 |
---|---|
Provider Name | Dr. James Y Sim |
First Address | Honolulu, HI 96826-1089 |
Second Address | Honolulu, HI 96826-1089 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
53641901 | (05) | HI |
H89969 | (02) | HI |