| NPI | 1023556248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW S DYKEMA Sole Member / Physician 808-345-9841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI DOS-1454) |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2017-02-08 |