| NPI | 1295052827 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A157273) | 
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IN 01093796A) | 
| Enumeration Date | 2010-04-21 | 
| Last Update Date | 2024-06-14 |