| NPI | 1639171309 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IN 01023721A) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: KY 16465) |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2007-07-08 |