Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 2193 | HI |
N | 363LG0600X | Nurse Practitioner - Gerontology | 2193 | HI |
NPI | 1003367087 |
---|---|
Provider Name | Mr. Harold Marion Galara Palma |
First Address | Honolulu, HI 96817-3564 |
Second Address | Honolulu, HI 96817-3564 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2016 |
Last Update Date | 17/06/2021 |