| NPI | 1366514291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAYARDO JOSE AVILES Administrator 808-960-5792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: HI MD7441) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2017-02-16 |