| NPI | 1639208218 |
|---|---|
| Former Name | SUBRAMANIAM - SIVALOGANATHAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CT 018565) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2007-07-08 |