| NPI | 1134198567 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: WI 68941-20) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IN 01031237A) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2018-10-24 |