| NPI | 1063415826 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: KY 22288) |
| Additional Taxonomies | 174400000X Specialist (Licence: IN 01036413A) |
| 174400000X Specialist (Licence: KY 22288) | |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2013-07-08 |