NPI | 1831530872 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 174M00000X Veterinarian (Licence: CA 6312) |
Additional Taxonomies | 174M00000X Veterinarian (Licence: ID V-1114) |
174M00000X Veterinarian (Licence: UT 6694020-2801) | |
Enumeration Date | 2013-07-06 |
Last Update Date | 2013-07-06 |