| NPI | 1053383596 |
|---|---|
| Other Name | K BARRY WENTLAND |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: PA OS006658L) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS006658L) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2022-02-01 |