NPI | 1518254531 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 174M00000X Veterinarian (Licence: CA 18323) |
Additional Taxonomies | 174M00000X Veterinarian (Licence: WA VT60109329) |
Enumeration Date | 2011-06-29 |
Last Update Date | 2012-11-14 |