NPI | 1144489865 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174M00000X Veterinarian (Licence: AL 5517) |
Additional Taxonomies | 174M00000X Veterinarian (Licence: KY NS-KY-4060) |
Enumeration Date | 2008-06-06 |
Last Update Date | 2008-06-06 |