| NPI | 1659355931 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NJ 25IA12460100) |
| Additional Taxonomies | 174400000X Specialist (Licence: IN 01040149) |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2024-12-27 |