| NPI | 1841482106 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NJ 25MA08418300) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 245383) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 245383) | |
| 207L00000X Anesthesiology (Licence: NJ 25MA08418300) | |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2016-06-20 |