Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 17434 | HI |
NPI | 1154616779 |
---|---|
Provider Name | Matthew Uechi |
First Address | Honolulu, HI 96817-2336 |
Second Address | Honolulu, HI 96817-2336 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2011 |
Last Update Date | 21/04/2016 |