NPI | 1932250479 |
---|---|
Entity Type | Organization |
Authorized Contact | BETTY J FITZ-PATRICK Office Manager 808-440-4413 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: HI MD4149) |
Enumeration Date | 2007-01-12 |
Last Update Date | 2010-06-30 |