| NPI | 1992723571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CRAIG PELLEGRIN President 985-851-5206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: LA 18280) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2010-09-21 |