| NPI | 1477043347 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IN 01100629A) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MO 2025022140) |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2026-09-03 |