| NPI | 1467663757 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IN 01072100A) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AZ 45691) |
| 207T00000X Neurological Surgery (Licence: OH 57012623) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2021-02-22 |