| NPI | 1295263788 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TN 70573) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MS 33254) |
| 207T00000X Neurological Surgery (Licence: GA 009062) | |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2024-06-28 |