| NPI | 1700205275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN T GAMBOA Physician 808-873-0299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: HI MD 8771) |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2014-04-14 |