| NPI | 1841546959 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174M00000X Veterinarian (Licence: WI 6054) |
| Additional Taxonomies | 174M00000X Veterinarian (Licence: IA 7379) |
| 174M00000X Veterinarian (Licence: IL 090010797) | |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2012-07-25 |