| NPI | 1982680419 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IN 01057579A) |
| Additional Taxonomies | 174400000X Specialist (Licence: IN 01057579A) |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2019-08-23 |