Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | DOS912 | HI |
NPI | 1699803460 |
---|---|
Provider Name | Dr. Timothy J Mclaughlin |
First Address | Honolulu, HI 96817-6301 |
Second Address | Honolulu, HI 96817-6301 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2007 |
Last Update Date | 15/06/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H39609 | (02) |