| NPI | 1043414675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN D TICE Owner 808-341-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: HI 11162) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2010-02-04 |