| NPI | 1457408338 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OH 35.091452) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IN 01095816A) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2025-06-10 |