| NPI | 1518164110 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A99924) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IN 01094949A) |
| 207T00000X Neurological Surgery (Licence: NV 13893) | |
| 207T00000X Neurological Surgery (Licence: CO DR.0059339) | |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2025-06-27 |