| NPI | 1740230317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: PA MD045460E) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IN 01085101A) |
| 207T00000X Neurological Surgery (Licence: ME MD26048) | |
| 207T00000X Neurological Surgery (Licence: SC 52235) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2024-03-06 |