| NPI | 1386987899 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TN 62016) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MS 28973) |
| 207T00000X Neurological Surgery (Licence: AR E-20127) | |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2026-07-15 |