Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 1761 | HI |
NPI | 1073655221 |
---|---|
Provider Name | William F. Beringer |
First Address | Kailua, HI 96734-2758 |
Second Address | Kailua, HI 96734-2757 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2007 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200113280A | (05) | OK |