| NPI | 1730756636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VASANTH KAINKARYAM Managing Member 860-469-5656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 2083B0002X Preventive Medicine, Obesity Medicine | |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2021-06-08 |