Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Plastic and Reconstructive Surgery |
2086S0122X | 02 | Physician/General Surgery |
| NPI Number | 1295423119 |
| LBN Legal business name | DISU HAWAII INC |
| Authorized official | DIANNE HOM - (CREDENTIALING) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 04/27/2023 |
| Last updated | 05/02/2023 - About 3 years ago |
| Identifiers | n/a |
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DISU HAWAII INC
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