| NPI | 1114331493 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IN 01086221A) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NC 201649) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2022-10-17 |