| NPI | 1790030161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GRIFFITH Administrator 808-521-8130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: HI 13763) |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2012-07-20 |