| NPI | 1417388760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM BURTON PETTIS Medical Director 808-933-1369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: HI 671) |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2013-12-11 |