| NPI | 1821103581 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IN 01076371A) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036111694) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2021-05-05 |