| NPI | 1912440090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON JUSTIN SMALL Owner 808-425-2376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: HI MD18102) |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2022-02-14 |