| NPI | 1063661718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUDOLPH DANIEL JACOB President 504-454-3611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: LA MD.012606) |
| Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: LA MD.012606) |
| 207YS0012X (Licence: LA MD.012606) | |
| 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: LA MD.012606) | |
| 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: LA MD.012606) | |
| 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: LA MD.012606) | |
| 207YX0901X Otolaryngology, Otology & Neurotology (Licence: LA MD.012606) | |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: LA MD.012606) | |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2009-01-27 |