| NPI | 1619467347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN D CARLSON Md 808-452-1379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: HI 19566) |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2021-10-07 |