| NPI | 1902260540 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: KY 59550) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IN 01093344A) |
| Enumeration Date | 2016-04-10 |
| Last Update Date | 2025-12-02 |