| NPI | 1588871032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY C. MAIDOH CEO Physician 985-876-9113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: LA 11345R) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2007-10-19 |