| NPI | 1962568840 |
|---|---|
| Other Name | KELLY THOMAS AZAR-WOYEWODZIC |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 92740) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 229504) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A92740) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2015-12-30 |