NPI | 1134410236 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NJ 25MA10029100) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 25MA10029100) |
Enumeration Date | 2011-04-22 |
Last Update Date | 2025-02-24 |