NPI | 1144280348 |
---|---|
Former Name | DANNY LOCKE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A36304) |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA A36304) |
Enumeration Date | 2006-03-23 |
Last Update Date | 2021-05-04 |