| NPI | 1841522471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERREY L. BARTON TAYLOR Vice President 808-261-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: HI DOS1153) |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: HI MD14322) |
| Enumeration Date | 2010-02-07 |
| Last Update Date | 2010-06-07 |