| NPI | 1609116904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GODOFREDO BACLIG President 808-524-5024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: HI MD-8967) |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2013-02-22 |