| NPI | 1801814520 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IN 01083439A) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TX L2442) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2026-05-28 |