| NPI | 1871091801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DOUGLAS STOVER Delegated Official 808-960-5412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI 18437) |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2018-01-24 |