Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | MD 10487 | HI |
N | 207RP1001X | Pulmonary Disease | MD 10487 | HI |
N | 207RS0012X | Sleep Medicine | MD 10487 | HI |
NPI | 1013007384 |
---|---|
Provider Name | Melvin Daniel Burton |
First Address | Kihei, HI 96753-7043 |
Second Address | Kihei, HI 96753-7043 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2006 |
Last Update Date | 31/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
24821402 | (05) | HI |
C90744 | (02) |