| NPI | 1861625279 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NJ 25MB08610000) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25mb08610000) |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2016-06-09 |