| 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 |