| NPI | 1932639705 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IN 01094659A) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AZ R76946) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2025-09-16 |