Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | MD2442 | HI |
NPI | 1164459327 |
---|---|
Provider Name | Dr. Philip H Kuo |
First Address | Kailua, HI 96734-2517 |
Second Address | Kailua, HI 96734-2517 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2006 |
Last Update Date | 29/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C98493 | (02) | HI |