| NPI | 1073638185 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IN 01063532A) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MI 4301089394) |
| 207T00000X Neurological Surgery (Licence: OR MD213661) | |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2023-03-24 |