NPI | 1134315005 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN J WILSON Pediatrician 808-961-0022 |
Organization Subpart ? | No |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: HI 4143) |
Enumeration Date | 2007-09-24 |
Last Update Date | 2007-09-24 |