| NPI | 1952510653 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IN 01068532A) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MI 4301080278) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-09-18 |