| NPI | 1861518185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNIL PREM President 318-388-0440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: LA L12718R) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |