| NPI | 1699967729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHRI KRIS VERMA Md 860-447-2489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: CT 039351) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363L00000X Nurse Practitioner (Licence: CT 002911) | |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2007-08-13 |