| NPI | 1790858371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA S SEBERG Business Manager And Corporate Secr 808-536-3222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI 10852) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: HI MD3219) |
| 207R00000X Internal Medicine (Licence: HI MD3219) | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-22 |