| NPI | 1891854592 |
|---|---|
| Former Name | SUSMITA MALLIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 049242) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 49242) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2016-06-06 |