| NPI | 1538656160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAO K ALI Owner 732-766-4107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: TX R2266) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2025-08-20 |