| NPI | 1750368205 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: HI MD-16523) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: VA 0101237521) |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2021-07-02 |