Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | MD9539 | HI |
NPI | 1083644975 |
---|---|
Provider Name | Michon Morita |
First Address | Honolulu, HI 96813-2421 |
Second Address | Honolulu, HI 96813-2421 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/07/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
07903402 | (05) | HI |
G17028 | (02) |