| NPI | 1063637478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN E ANGELO Owner 985-705-3979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: LA 014342) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2023-02-20 |