Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | MD-21828 | HI |
NPI | 1609280544 |
---|---|
Provider Name | Jesus Edinson Pino Moreno |
First Address | Honolulu, HI 96813-2496 |
Second Address | Honolulu, HI 96813-2496 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2014 |
Last Update Date | 09/06/2021 |