| NPI | 1629276886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH ENTES President 337-593-8508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 06884R) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-07-10 |