| NPI | 1942465596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK L. KEPPEL M.D. Medical Doctor 985-641-9855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: LA 016223) |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2008-07-23 |