Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD1987 | HI |
N | 2080P0207X | Pediatric Hematology-Oncologist | MD1987 | HI |
NPI | 1265489231 |
---|---|
Provider Name | Dr. Robert W Wilkinson |
First Address | Honolulu, HI 96826-1001 |
Second Address | Honolulu, HI 96826-1001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0000037655 | HMSA,HMSA QUEST (01) | HI |
03409901 | (05) | HI |
MD1987 | CIGNA,DMBA,MASS,NATL,QHCP (01) | HI |