| NPI | 1982693313 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TN 38705) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MS 25604) |
| 207T00000X Neurological Surgery (Licence: TN MD38705) | |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2021-10-26 |