| 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 |