| NPI | 1235280314 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: NJ 25MA06552700) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA06552700) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2025-04-10 |