| NPI | 1144361239 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: HI MD-5427) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: GU M-1434) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2017-12-07 |