Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | ND-236 | HI |
NPI | 1083055024 |
---|---|
Provider Name | Stephen Benchouk |
First Address | Honolulu, HI 96813-3301 |
Second Address | Honolulu, HI 96813 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2013 |
Last Update Date | 17/03/2018 |