NPI | 1326106014 |
---|---|
Entity Type | Organization |
Authorized Contact | MADAELIL GEORGE THOMAS President 985-649-2883 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: LA 03737R) |
Additional Taxonomies | 174400000X Specialist (Licence: LA 05592R) |
Enumeration Date | 2006-12-05 |
Last Update Date | 2009-01-21 |