| NPI | 1073833240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUWATOYIN OLATINWO Owner / Provider 318-214-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA MD203733) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2010-06-10 |