| NPI | 1518960483 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IN 01033359A) |
| Additional Taxonomies | 174400000X Specialist (Licence: KY 19590) |
| 207T00000X Neurological Surgery (Licence: KY 19590) | |
| 174400000X Specialist (Licence: IN 01033359A) | |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2024-11-13 |