| NPI | 1174805386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174M00000X Veterinarian (Licence: MN 00611) |
| Additional Taxonomies | 174MM1900X Veterinarian, Medical Research (Licence: MN 00611) |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-09-13 |