Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175F00000X | Naturopath | ||
Y | 175F00000X | Naturopath | ND-323 | HI |
N | 175F00000X | Naturopath | NT60790676 | WA |
NPI | 1023537297 |
---|---|
Provider Name | Dr. Virgil Tanizaki |
First Address | Kapolei, HI 96707 |
Second Address | Kapolei, HI 96707 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2017 |
Last Update Date | 28/09/2020 |