A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Pain Medicine | 2081P2900X |
| Student in an Organized Health Care Education/Training Program | 390200000X |
* Indicates primary specialty
| NPI Number | 1922663335 |
| Credentials | DO (Doctor of Osteopathic) |
| Entity | Individual |
| Enumeration date | 05/01/2019 |
| Last updated | 05/09/2025 - More than a year ago |
| Sole proprietor1 | No |
| Identifiers |
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| Hospital affiliation | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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