| NPI | 1336144245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TN MD48134) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IN 01046481) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2013-01-10 |