NPI | 1134499650 |
---|---|
Entity Type | Organization |
Authorized Contact | GARRY B PEERS Medical Director 808-599-7779 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: HI FSOF22) |
Enumeration Date | 2012-01-02 |
Last Update Date | 2015-09-28 |