| NPI | 1871577536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY DUNN Owner 808-522-0190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: HI MD3593) |
| Additional Taxonomies | 174400000X Specialist (Licence: HI MD7570) |
| 174400000X Specialist (Licence: HI MD7714) | |
| 174400000X Specialist (Licence: HI MD11118) | |
| 174400000X Specialist (Licence: HI MD11388) | |
| 174400000X Specialist (Licence: HI MD11796) | |
| 174400000X Specialist (Licence: HI MD12846) | |
| 174400000X Specialist (Licence: HI MD9450) | |
| 174400000X Specialist (Licence: HI MD9646) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: HI MD14763) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: HI MD15853) | |
| 174400000X Specialist (Licence: HI MD3504) | |
| 174400000X Specialist (Licence: HI MD6106) | |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2023-10-31 |