| NPI | 1104858612 |
|---|---|
| Other Name | BUD WAYNE INGRAM-LILE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 49329) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VT 042-0010705) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2023-03-07 |