| NPI | 1265862221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY IAN LAKKIS Physician Member And Manager 808-244-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: HI MD-12546) |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2018-03-17 |