| NPI | 1548451040 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IN 01032786A) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL ME0058223) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2021-05-20 |