NPI | 1578806436 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE LISA RANDOLPH President 808-295-6058 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: AK 7641) |
Enumeration Date | 2013-03-29 |
Last Update Date | 2020-10-28 |