NPI | 1548314495 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW MACK ABRAHAM Owner 337-289-5605 |
Organization Subpart ? | No |
Primary Taxonomy | 207RS0012X Internal Medicine Sleep Medicine (Licence: LA MD024082) |
Enumeration Date | 2007-01-22 |
Last Update Date | 2020-08-22 |