| NPI | 1043696206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF NYE CFO 808-263-5142 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2015-08-10 |