| NPI | 1295811636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANKWAN THOMAS WONG President 808-942-8727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI MD11859) |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site (Licence: HI 11859) |
| Enumeration Date | 2006-10-28 |
| Last Update Date | 2018-03-12 |