| NPI | 1083925580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILIBETH DOMINGO CATO Medical Assistant 808-523-1343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: HI 3734) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2011-12-09 |