| NPI | 1174780100 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NJ 25MA08401600) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA08401600) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 25ma08401600) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: NJ 25ma08401600) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: NJ 25ma08401600) | |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2021-04-01 |