| NPI | 1528293354 |
|---|---|
| Former Name | GAUTAM K VISWESWARAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MA09277200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09277200) |
| 207R00000X Internal Medicine (Licence: PA MD446413) | |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2023-04-06 |