NPI | 1548206360 |
---|---|
Professional Name | WILLIAM C BUCKNAM |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 54298) |
Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: MI 043167) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 043167) | |
2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: WI 54298) | |
Enumeration Date | 2006-06-21 |
Last Update Date | 2016-12-07 |