| NPI | 1619389962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS J GOTTSCHALK Sole Proprietor 210-216-5650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2014-05-21 |