| NPI | 1639556996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL EVANS Member 808-536-3773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: HI MD-10768) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-05-06 |