| NPI | 1750402038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID KARAS Owner 203-245-0496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CT 035237) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CT 035237) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2011-10-27 |