| NPI | 1871512160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTODULOS S STAVENS President 502-589-7907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2015-06-30 |