| NPI | 1699023747 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IN 01081788A) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 125.061427) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2022-01-10 |