| NPI | 1083877617 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 25MA08612700) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MD D78019) |
| 207R00000X Internal Medicine (Licence: MD D78019) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MD D78019) | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2019-01-02 |