NPI | 1568597235 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK D. LIPETZ Owner 808-891-1177 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: HI 10263) |
Enumeration Date | 2007-02-22 |
Last Update Date | 2008-06-24 |