NPI | 1659612711 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 174M00000X Veterinarian (Licence: IL 090009537) |
Additional Taxonomies | 174M00000X Veterinarian (Licence: WI 6120-50) |
Enumeration Date | 2013-03-13 |
Last Update Date | 2013-03-13 |