| NPI | 1063025971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE YAN Member Physician 808-977-0955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery |
| Additional Taxonomies | 208600000X Surgery |
| 2086S0102X Surgery, Surgical Critical Care | |
| 2086S0129X Surgery, Vascular Surgery | |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-12-19 |