Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 125.060486 | IL |
N | 208000000X | Pediatrician | MD-19393 | HI |
Y | 2080P0204X | Pediatric Emergency Doctor | MD-19393 | HI |
NPI | 1255628244 |
---|---|
Provider Name | Dr. Jonathan Matthew Rhine |
First Address | Honolulu, HI 96813-5241 |
Second Address | Ewa Beach, HI 96706 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2011 |
Last Update Date | 16/08/2018 |