NPI | 1538453618 |
---|---|
Entity Type | Organization |
Authorized Contact | GERARD MICHAEL DILEO Sole Proprietor/Owner 985-373-7517 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME95062) |
Enumeration Date | 2011-06-06 |
Last Update Date | 2011-06-06 |