NPI | 1700979531 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAMI RAFANAN Medical Biller 808-440-6852 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2006-10-02 |
Last Update Date | 2023-01-13 |