| NPI | 1700043023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IN 01069511A) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OH 35120790) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2020-12-23 |