| NPI | 1194263558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D STOVER Contracted Entity 808-960-5412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: HI MD 18946) |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2017-02-06 |