NPI | 1841432911 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174M00000X Veterinarian (Licence: NY 010783-1) |
Additional Taxonomies | 174M00000X Veterinarian (Licence: NJ 29VI00471400) |
Enumeration Date | 2009-04-03 |
Last Update Date | 2014-07-29 |