| NPI | 1013982297 |
|---|---|
| Former Name | SRIDAM MAITRA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-103787) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2011024860) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2024-06-04 |