| NPI | 1053812990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT C. FERGUSON President 808-887-6543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: HI MD16732) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: HI MD18820) |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2018-03-17 |