NPI | 1750708673 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 174M00000X Veterinarian (Licence: WI 6885) |
Additional Taxonomies | 174M00000X Veterinarian (Licence: IL 090.011111) |
Enumeration Date | 2014-03-28 |
Last Update Date | 2014-03-28 |