| NPI | 1073714457 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MI 4301086032) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IN 01097713A) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2026-03-09 |