| NPI | 1891013199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT RANDOLPH WATERFORD President 808-268-5789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: HI 15055) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: HI 15055) |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2013-02-20 |