| NPI | 1922349422 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174M00000X Veterinarian (Licence: NH 1574) |
| Additional Taxonomies | 174M00000X Veterinarian (Licence: VT 1550) |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2013-03-07 |