| NPI | 1982822862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SCOTT CROW Owner 808-244-4910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: HI MD-11100) |
| Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: HI MD-11100) |
| 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: HI MD-11100) | |
| 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: HI MD-11100) | |
| 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: HI MD-11100) | |
| 207YX0901X Otolaryngology, Otology & Neurotology (Licence: HI MD-11100) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2011-02-04 |