| NPI | 1619015104 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: VA 0101267689) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IN 01060054A) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2022-05-09 |