| NPI | 1164798393 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: WI 61977-20) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IN 01099969A) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2026-05-27 |