| NPI | 1790998185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENRIQUE TOBIAS DIZON Owner 808-677-2298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: HI 10508976) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2008-07-23 |