| 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 |