NPI | 1821742040 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL IKEMIRE Cmo 504-717-3050 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2022-02-07 |
Last Update Date | 2022-12-03 |