| NPI | 1104227404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL HAWK Owner / Physician 808-744-2543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: HI DOS-1424) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| Enumeration Date | 2014-09-06 |
| Last Update Date | 2014-09-08 |