| NPI | 1477909380 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TN 67632) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MS 32052) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2023-11-28 |