| NPI | 1184808388 | 
|---|---|
| Former Name | JAYARAM SRINIVASAN | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: FL ME142629)  | 
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: PA MD451888)  | 
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CA A101421)  | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: NY 268952)  | |
| Enumeration Date | 2007-12-24 | 
| Last Update Date | 2020-10-28 |