| NPI | 1861785925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX S0559) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IN 01080164A) |
| 207T00000X Neurological Surgery (Licence: TX BP10040652) | |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2022-01-20 |