| NPI | 1477553782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NJ 25MA07723500) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IN 01095041A) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2026-01-12 |