| NPI | 1265665228 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NJ 25MA09402000) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA09402000) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 263363) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 263363) | |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2025-01-31 |