NPI | 1497993844 |
---|---|
Entity Type | Organization |
Authorized Contact | ALBERT J GROS Physician Owner/Manager 337-407-4512 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
Enumeration Date | 2009-01-22 |
Last Update Date | 2023-07-10 |