| NPI | 1730264201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LANGE ELLIOTT Doctor 225-755-3070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: LA 3326R) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-02-24 |