| NPI | 1790788321 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IN 01031180A) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IN 01031180) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2021-01-05 |