| 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 |