| NPI | 1366714669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NDUBUEZE FIDELIS OKONKWO Owner 504-241-6660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA LA09878R) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: LA LA09878R) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2012-02-01 |