| NPI | 1285090563 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174M00000X Veterinarian (Licence: NV 2396) |
| Additional Taxonomies | 174M00000X Veterinarian (Licence: CA 20750) |
| 174M00000X Veterinarian (Licence: PA BV012932) | |
| Enumeration Date | 2016-01-03 |
| Last Update Date | 2016-01-03 |