| NPI | 1730317090 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: ID M-15928) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IN 01080885A) |
| 208600000X Surgery (Licence: KY 47390) | |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2023-07-18 |