| 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 |