| NPI | 1790840718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA JEAN MAH President 808-593-8686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: HI MD 7068) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: HI MD 1003) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2014-07-11 |