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 |