| 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 |