| NPI | 1699703785 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MO 2007010290) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IN 01062089) |
| 207T00000X Neurological Surgery (Licence: KS 04-32315) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2022-01-25 |