Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | MD12315 | HI |
N | 207R00000X | Internist | MD12315 | HI |
N | 111NI0900X | Internist | MD12315 | HI |
Y | 207RA0201X | Internist - Allergy & Immunology | MD12315 | HI |
NPI | 1003859059 |
---|---|
Provider Name | Dr. Philip Iee-Lian 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 | 14/06/2006 |
Last Update Date | 07/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H83345 | (02) | HI |