| NPI | 1689171688 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TN 73646) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MS 34796) |
| 207T00000X Neurological Surgery (Licence: AR E-19154) | |
| Enumeration Date | 2018-04-07 |
| Last Update Date | 2025-08-19 |