| NPI | 1265609283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL THOMAS OCONNOR Medical Doctor 808-989-0865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: HI DOS-787) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2011-01-20 |