| NPI | 1487514394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNA LEE LEWIS GRIMA Practice Owner 808-321-0769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2025-11-13 |
| Last Update Date | 2025-11-13 |