| 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 |