| NPI | 1104152743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLENE DOROTHY MEYERS Member 808-622-2655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2009-11-01 |
| Last Update Date | 2009-11-01 |