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 |