| NPI | 1528453453 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IN 01087255A) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: WI 5577-851) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2022-07-11 |