| NPI | 1396014031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENE NG Member 808-356-3820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: HI MD-15409) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: HI MD-15409) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: HI MD-15409) | |
| Enumeration Date | 2011-12-27 |
| Last Update Date | 2019-12-11 |