A neurologist, child neurologists or psychiatrist 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 | 2084P2900X |
| Neurology | 2084N0400X | |
| Pediatrics | 208000000X |
* Indicates primary specialty
| NPI Number | 1003565672 |
| Credentials | DO (Doctor of Osteopathic) |
| Entity | Individual |
| Enumeration date | 03/21/2022 |
| Last updated | 08/08/2025 - About 10 months 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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