Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 4415 | HI |
NPI | 1003859653 |
---|---|
Provider Name | Dr. William T Eilert |
First Address | Haleiwa, HI 96712-1301 |
Second Address | Wailuku, HI 96793-2526 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2006 |
Last Update Date | 09/10/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02105301 | (05) | HI |
D43419 | (02) |