| NPI | 1952177412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT G IACONO Owner 504-952-1539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083B0002X Preventive Medicine Obesity Medicine |
| Additional Taxonomies | 207RB0002X Internal Medicine Obesity Medicine |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2024-05-29 |