NPI | 1538322870 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MD D0075827) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 25MA09118700) |
207LP2900X Anesthesiology, Pain Medicine (Licence: MD D75827) | |
Enumeration Date | 2008-07-07 |
Last Update Date | 2021-07-26 |