| NPI | 1124124243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP JUNG SUH Owner 808-946-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI 10040) |
| Additional Taxonomies | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: HI 2519) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2017-10-25 |