NPI | 1235280314 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
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 | 2015-12-29 |