| NPI | 1821538372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA THERESA FLORES VILLA Member 808-845-3911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: HI MD18655) |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2017-03-03 |