NPI | 1942201546 |
---|---|
Other Name | JOHN THOMAS DENKER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: OR MD 12668) |
Additional Taxonomies | 207QG0300X Family Medicine Geriatric Medicine (Licence: OR MD 12668) |
Enumeration Date | 2005-08-03 |
Last Update Date | 2007-10-16 |