| NPI | 1962929398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK T. KUGE President 808-230-3719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: HI 2480) |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2022-07-21 |