| NPI | 1881757425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID P ROUBEN Corporate Officer 502-935-8061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2011-10-21 |