| NPI | 1225104094 |
|---|---|
| Other Name | JOHN W RETAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 3223) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AL 3223) |
| Enumeration Date | 2006-11-25 |
| Last Update Date | 2013-02-05 |