| NPI | 1124282074 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO DR.0060023) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IN 11014253a) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2018-04-05 |