| NPI | 1235131103 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: UT 12994296-1205) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IN 01052721A) |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2024-04-18 |