| 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 |