| NPI | 1760626170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK CHRISTIAN MOUTON Member 504-621-3298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA MD.201233) |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2014-07-01 |