| NPI | 1598710899 |
|---|---|
| Other Name | I DAVID BOUGH |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NJ 25MA06358300) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY 201905-1) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2022-03-25 |