| NPI | 1083273544 |
|---|---|
| Former Name | MICHAEL MAIDIN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: IA R-13245) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 5151013654) |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2024-06-12 |