| NPI | 1376686311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN VILLAFANE President 502-584-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: KY 24893) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2014-06-11 |