| NPI | 1669674081 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IN 01084250A) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TX N7764) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-08-19 |