| NPI | 1841639101 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IN 01088098A) | 
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: VA 0116028848) | 
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116028848) | |
| Enumeration Date | 2013-06-20 | 
| Last Update Date | 2023-03-21 |