| NPI | 1790927580 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IN 01074190A) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: PA mt190323) |
| 207T00000X Neurological Surgery (Licence: CO 55280) | |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2021-09-23 |