Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | MD13018 | HI |
NPI | 1013939008 |
---|---|
Provider Name | Dr. Michael Gregory Duick |
First Address | Honolulu, HI 96824-0724 |
Second Address | Honolulu, HI 96818-1849 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 17/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I19895 | (02) |