| NPI | 1083956114 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NJ 25MA10045700) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA10045700) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2022-06-16 |