| NPI | 1497509459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILHAM FARHAT Resident 808-218-4627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2024-04-16 |