Gary S. Mizono, MD Valid NPI

Individual provider · Otolaryngology Physician · San Rafael, CA

NPI

1174607147

Type

Individual (Type 1)

Primary specialty

Otolaryngology Physician (Otolaryngology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Y00000X

License number

G42222 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2006-10-25

Last updated

2007-07-08