Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | MD4773 | HI |
NPI | 1497815260 |
---|---|
Provider Name | Edward Y C Hew |
First Address | Honolulu, HI 96839-1353 |
Second Address | Honolulu, HI 96817-5409 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2006 |
Last Update Date | 12/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A039501 | (05) | HI |
A039501 | HMSA BCBS (01) | HI |
A92166 | (02) |