| NPI | 1013304054 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IN 01090436A) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TN 65489) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2023-10-02 |