| NPI | 1699891457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN I ROTH Physician/Owner 502-933-9902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KY KY21471) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2022-10-05 |