NPI | 1912271412 |
---|---|
Entity Type | Organization |
Authorized Contact | SHIBU VARUGHESE President/Manager 504-494-5378 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA md203694) |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2012-02-29 |
Last Update Date | 2022-06-15 |