| NPI | 1730420027 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174M00000X Veterinarian (Licence: IL 090.005144) |
| Additional Taxonomies | 174M00000X Veterinarian (Licence: IN 24004216A) |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2013-03-11 |