| NPI | 1396203295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MOSES Managing Member 808-782-1113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2019-03-10 |
| Last Update Date | 2019-03-10 |