| NPI | 1134121940 |
|---|---|
| Professional Name | EDWARD E ICAZA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: TX K9809) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: OK 26567) |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2024-06-13 |