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 |