Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207NS0135X | Procedural Dermatology | 3540 | HI |
NPI | 1225069990 |
---|---|
Provider Name | Dr. Milton J Ackerman |
First Address | Honolulu, HI 96814-1922 |
Second Address | Honolulu, HI 96814-1922 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 09/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
070000237 | RAILROAD MEDICARE (01) | GA |