| NPI | 1871632844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALVATORE JAMES BERTOLONE President 502-629-7750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2010-02-19 |