| NPI | 1881562759 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174M00000X Veterinarian (Licence: DC VET200001189) |
| Additional Taxonomies | 174M00000X Veterinarian (Licence: VA 0301205527) |
| 174M00000X Veterinarian (Licence: MD V-08905) | |
| Enumeration Date | 2025-10-23 |
| Last Update Date | 2025-10-23 |