| NPI | 1801108139 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TN 54103) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MS T-2291) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2016-12-13 |