NPI | 1588843502 |
---|---|
Entity Type | Organization |
Authorized Contact | DOUGLAS M WILLIAMS Owner/Physician Assistant 808-263-3233 |
Organization Subpart ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: HI AMD536) |
Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: HI 10836) |
261QM2500X Clinic/Center, Medical Specialty | |
Enumeration Date | 2007-10-25 |
Last Update Date | 2018-02-14 |