| NPI | 1437661238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BYRON R CARRASCO Manager 808-366-8167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: HI p0-218) |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2025-01-14 |