| NPI | 1962853317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEAREEN GEDAYLOO Onwer/Md 808-935-1193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: HI 13705) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2017-12-28 |