| NPI | 1134120702 |
|---|---|
| Professional Name | WAYNE W INGRAM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TX E7995) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX E7795) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2007-07-08 |