| NPI | 1396242285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TN 77214) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 334008) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 208D00000X General Practice (Licence: AL MD.39291) | |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2026-08-06 |