| NPI | 1245486356 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174M00000X Veterinarian (Licence: AZ 4317) |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ 4317) |
| Enumeration Date | 2008-08-09 |
| Last Update Date | 2008-08-09 |