| NPI | 1952568271 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IN 01082895A) | 
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OK 30406) | 
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11013861A) | |
| Enumeration Date | 2008-05-22 | 
| Last Update Date | 2025-05-16 |