| NPI | 1679707103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERYLL ULEP AMBROCIO President 808-531-7111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: HI MD-15066) |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2010-08-27 |