Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD-7317 | HI |
N | 111NI0900X | Internist | MD-7317 | HI |
Y | 207RH0002X | Hospice and Palliative Medicine | MD-7317 | HI |
NPI | 1184760712 |
---|---|
Provider Name | Dr. Yuri Imanishi |
First Address | Honolulu, HI 96813-2423 |
Second Address | Honolulu, HI 96813-2423 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2007 |
Last Update Date | 28/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E73533 | (02) |