| NPI | 1982191003 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TN 73245) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CO DR.0066896) |
| Enumeration Date | 2018-04-14 |
| Last Update Date | 2025-06-17 |