NPI | 1184760357 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID PETRUSKA Owner Physician 502-899-9099 |
Organization Subpart ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: KY 24702) |
Enumeration Date | 2007-01-29 |
Last Update Date | 2007-08-20 |