NPI | 1205516903 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD J. GRISOLI Medical Director 985-507-9116 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine |
Enumeration Date | 2023-07-19 |
Last Update Date | 2023-07-19 |