| NPI | 1720405509 |
|---|---|
| Doing Business As | DAN CLARK SOLE MBR |
| Entity Type | Organization |
| Authorized Contact | DAN CLARK Do 808-531-1116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: HI 207L00000X) |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2014-03-18 |