| NPI | 1407088289 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TN 52590) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN MD52590) |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2022-03-22 |