| NPI | 1497016182 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IN 01083960A) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TX 566824) |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2020-06-30 |