Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | MD-16391 | HI |
Y | 208600000X | Surgeon | MD-16391 | HI |
N | 2086S0127X | Trauma Surgeon | MD461703 | PA |
NPI | 1205121993 |
---|---|
Provider Name | Malia G Eischen |
First Address | Honolulu, HI 96813-2499 |
Second Address | Honolulu, HI 96813-2499 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2011 |
Last Update Date | 09/06/2021 |