NPI | 1942544432 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174M00000X Veterinarian (Licence: OH Vet 2985) |
Additional Taxonomies | 174M00000X Veterinarian (Licence: FL Vet 1209) |
Enumeration Date | 2012-11-21 |
Last Update Date | 2012-11-21 |