| NPI | 1396715900 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NH LT3307) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TN 31242) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2023-11-27 |