| NPI | 1710980370 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NY 199470) |
| Additional Taxonomies | 174400000X Specialist (Licence: IN 01052912a) |
| 207T00000X Neurological Surgery (Licence: MA 227533) | |
| 207V00000X Obstetrics & Gynecology (Licence: MA 227533) | |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2024-09-04 |