| NPI | 1790976975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED ELKERSH Physician/Owner 985-345-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2017-11-07 |