| NPI | 1013930296 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TN 26316) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MS 13408) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2021-10-26 |