NPI | 1962419838 |
---|---|
Professional Name | MANICKAM GANESH |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA03057000) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NJ 25MA03057000) |
207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA03057000) | |
Enumeration Date | 2006-08-02 |
Last Update Date | 2007-07-08 |