NPI | 1194729079 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL ZIAD DIBBS Owner 337-984-9355 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 14398R) |
Enumeration Date | 2005-06-09 |
Last Update Date | 2014-04-22 |