| NPI | 1861603466 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NY 277020) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IN 02004251A) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2023-10-05 |