| NPI | 1992190441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174M00000X Veterinarian (Licence: IL 090007361) |
| Additional Taxonomies | 174M00000X Veterinarian (Licence: WI 4110) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2015-04-01 |