Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | MD12927 | HI |
NPI | 1184670689 |
---|---|
Provider Name | Dr. Shim Ching |
First Address | Honolulu, HI 96814-1870 |
Second Address | Honolulu, HI 96814-1870 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2006 |
Last Update Date | 22/11/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I17192 | (02) | HI |