| NPI | 1205381068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY REBER Single Member Owner 808-847-5385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: HI 18643) |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2016-09-16 |