| NPI | 1053635656 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IN 01085574A) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CO DR.0058998) |
| 207T00000X Neurological Surgery (Licence: KY 55381) | |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2023-03-07 |