| NPI | 1417271503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURA TAKAO O'DONNELL Member Manager 808-354-1955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: HI MD15497) |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2010-03-18 |