| NPI | 1134486814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PUGERA VINOO GANAPATHY Manager/Member 808-387-8466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2012-04-18 |