| NPI | 1629157003 |
|---|---|
| Professional Name | TODD M WIDER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NY 193602) |
| Enumeration Date | 2006-11-04 |
| Last Update Date | 2009-02-18 |