| NPI | 1588159107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN LANGLOIS Owner 225-936-4540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2023-03-07 |