NPI | 1962559740 |
---|---|
Entity Type | Organization |
Authorized Contact | MUDAR M KATTASH Owner 337-562-2293 |
Organization Subpart ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: LA MD.203075) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: LA MD.12869R) |
Enumeration Date | 2007-01-04 |
Last Update Date | 2017-04-10 |