| NPI | 1760995443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID P ROUBEN President 502-653-7444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2018-05-16 |