| NPI | 1821293796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGAR T. DELA CRUZ President 808-848-0880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: HI 4020) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: HI 13290) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2020-08-22 |