NPI | 1497041008 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID L SAMUEL M.D. 985-624-6650 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: LA 10711R) |
Enumeration Date | 2011-06-22 |
Last Update Date | 2011-06-22 |