| NPI | 1215238878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAYTON GIACOBBE BROWN Incorporator 225-654-0027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 014714) |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2011-02-09 |