| NPI | 1215962279 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A68020) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IN 01062386) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2025-10-10 |