| NPI | 1386939932 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TN 63260) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 304964) |
| 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: TN 63260) | |
| Enumeration Date | 2011-06-11 |
| Last Update Date | 2024-04-23 |