Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 130861 | NY |
NPI | 1023128832 |
---|---|
Provider Name | Subramaniam Srinivasan |
First Address | Washington, DC 20522-0001 |
Second Address | Washington, DC 20522-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 08/07/2007 |