| NPI | 1477521573 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: WI 69263-20) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IN 01036963A) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2022-03-31 |