Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VG0400X | Gynecologist | MD2581 | HI |
Y | 207VX0000X | Obstetrician | MD2581 | HI |
NPI | 1396777637 |
---|---|
Provider Name | Mr. Thomas Sidney Kosasa |
First Address | Honolulu, HI 96826-1028 |
Second Address | Honolulu, HI 96826-1028 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 25/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C98818 | (02) |