| NPI | 1730137043 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IN 01083738A) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OH 35087091) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2024-12-12 |