NPI | 1194415935 |
---|---|
Entity Type | Organization |
Authorized Contact | YOICHI SOMA Member 808-722-4135 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2023-05-12 |
Last Update Date | 2023-05-12 |