| NPI | 1861794000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TN 3177) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MI 5101019592) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: IN 02003770B) | |
| 208D00000X General Practice (Licence: IN 02003770A) | |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2020-10-13 |