| NPI | 1336358100 |
|---|---|
| Professional Name | CARL THOMAS WHITESIDE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 16480) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-07-08 |