| NPI | 1346274966 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NJ 25MA09056500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 227084) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2025-06-08 |