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 |