Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | PT870557 | DC |
Y | 2251S0007X | Physical Therapist - Sports | 2995 | HI |
NPI | 1265595714 |
---|---|
Provider Name | Dr. Paul Howyue Wang |
First Address | Honolulu, HI 96817-2364 |
Second Address | Honolulu, HI 96817-2364 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/12/2006 |
Last Update Date | 11/02/2014 |