| NPI | 1972981512 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: HI MD-23197-0) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MT 147432) |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2025-01-30 |