NPI | 1043502792 |
---|---|
Entity Type | Organization |
Authorized Contact | DOUGLAS M TONOKAWA Member 808-949-2208 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: HI PENDING) |
Enumeration Date | 2011-05-12 |
Last Update Date | 2011-05-12 |