| NPI | 1104102029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY GERARD DUMAS Physician 504-592-9818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 025449) |
| Additional Taxonomies | 208D00000X General Practice (Licence: LA 025449) |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2011-10-24 |