| NPI | 1235155110 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IN 01086467A) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OH 35-084642) |
| 207T00000X Neurological Surgery (Licence: NC 2015-01818) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2021-09-23 |