| NPI | 1831560374 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | LAURIE B. LEE Manager, Physician 808-455-9095  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI MD 4664)  | 
| Enumeration Date | 2015-10-09 | 
| Last Update Date | 2015-10-09 |