| NPI | 1609261395 |
|---|---|
| Other Name | VAIRAVAN MANICKAM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X (Licence: OH 35.152863) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA 390200000X) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A188792) | |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2025-05-23 |