| NPI | 1215090139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY S HANZAWA Office Manager 808-373-5728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2011-11-21 |