| NPI | 1972861201 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IN 01091413A) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: VA 0101266577) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2023-11-08 |