Individual
DR. SHINJI ITO
Active
Individual
DR. SHINJI ITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MDR-6176
HI
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
MD17719
HI
Other
Enumeration date
07/11/2011
Last updated
03/29/2018
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