| NPI | 1962777110 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174MM1900X Veterinarian Medical Research (Licence: MI 6901010051) |
| Additional Taxonomies | 174M00000X Veterinarian (Licence: MI 5315040836) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2012-03-20 |