| NPI | 1013995901 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TN 44723) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MN 45712) |
| 207T00000X Neurological Surgery (Licence: MS 20877) | |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2019-01-16 |