| NPI | 1750744850 | 
|---|---|
| Former Name | MARIA DAVYDOV | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: VA 0101281922)  | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program | 
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351045027)  | |
| Enumeration Date | 2016-04-05 | 
| Last Update Date | 2024-08-20 |