| NPI | 1831400621 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AR E-10298) |
| Additional Taxonomies | 208600000X Surgery (Licence: AR E-10298) |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2021-05-12 |