Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD11397 | HI |
N | 111NI0900X | Internist | MD11397 | HI |
Y | 207RG0300X | Geriatric Medicine | MD11397 | HI |
N | 207RH0002X | Hospice and Palliative Medicine | MD11397 | HI |
NPI | 1124067103 |
---|---|
Provider Name | Dr. Lam V Nguyen |
First Address | Honolulu, HI 96820-2040 |
Second Address | Honolulu, HI 96813-2402 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 06/03/2009 |