| NPI | 1801186549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER CHARLES GARBER Owner 808-548-7033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: HI 14577) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: HI 16009) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2020-12-21 |