Individual
WICHIT SAE-OW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 PUNCHBOWL STREET, IOLANI 4 PATHOLOGY, HONOLULU, HI 96813
(808) 691-4271
(808) 691-4045
Mailing address
737 BISHOP ST STE 2060, HONOLULU, HI 96813-3214
(808) 691-4271
(808) 691-4045
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD-18726
HI
Other
Enumeration date
06/29/2010
Last updated
05/29/2024
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