NPI | 1154064855 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID SU Chief Executive Officer 808-931-0717 |
Organization Subpart ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
Enumeration Date | 2022-04-19 |
Last Update Date | 2024-09-16 |