| NPI | 1972215358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN BANNISTER Nurse Anesthetist 808-430-0587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LA0401X Anesthesiology, Addiction Medicine |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology | |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2023-07-03 |