NPI | 1710291380 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 174M00000X Veterinarian (Licence: CT 3108) |
Additional Taxonomies | 174M00000X Veterinarian (Licence: VA 0301005855) |
174M00000X Veterinarian (Licence: NY 007951) | |
Enumeration Date | 2010-08-05 |
Last Update Date | 2010-08-05 |