| NPI | 1093712572 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME110815) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IN 01051002A) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2023-10-05 |