| NPI | 1992534952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORY K LEHANO Executive Director 808-205-9866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208D00000X General Practice | |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-07-29 |