| NPI | 1073888665 |
|---|---|
| Former Name | RAJEEV SUBRAMANYAM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: PA MD462654) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OH 35.098867) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: PA 1032770770002) | |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2022-09-30 |