NPI | 1992714836 |
---|---|
Other Name | C BLAKELY SIMPSON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: AL L.5076DP) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX J0265) |
Enumeration Date | 2006-08-07 |
Last Update Date | 2020-02-03 |