| NPI | 1497195879 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174M00000X Veterinarian (Licence: PR 333) |
| Additional Taxonomies | 174MM1900X Veterinarian, Medical Research (Licence: PR 33) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2013-06-28 |