| NPI | 1649419169 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: WI 67323) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IN 02004152A) |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2023-09-27 |