| NPI | 1780699348 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 183858-1) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA05330700) |
| 207L00000X Anesthesiology (Licence: NY 183858-1) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NJ 25MA05330700) | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-07-29 |