NPI | 1245623354 |
---|---|
Entity Type | Organization |
Authorized Contact | SUNEIL JOLLY Owner 504-754-2334 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: LA PA200362) |
Enumeration Date | 2015-03-13 |
Last Update Date | 2022-11-14 |