| NPI | 1083107544 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OH 35.156650) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IN 125072237) |
| Enumeration Date | 2018-06-10 |
| Last Update Date | 2026-09-02 |