| NPI | 1316203805 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: WI 82296) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IN 01084016A) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2023-08-11 |