NPI | 1215076302 |
---|---|
Entity Type | Organization |
Authorized Contact | ADEBOYE ADELAJA FRANCIS Medical Director 225-932-9150 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 13264R) |
Enumeration Date | 2007-02-05 |
Last Update Date | 2014-06-25 |