| NPI | 1124462882 |
|---|---|
| Other Name | BILL; CONWAY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 5101021346) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY TP766) |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2020-08-14 |