| NPI | 1851395586 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: KY 26253) |
| Additional Taxonomies | 174400000X Specialist (Licence: KY 26253) |
| 174400000X Specialist (Licence: IN 01038382) | |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2016-09-12 |