| NPI | 1518117902 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NJ 25MA10391400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA10391400) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NY 279001) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NJ 25MA10391400) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 279001) | |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2024-04-25 |