NPI | 1487703450 |
---|---|
Other Name | LEE BRUCE MARSHALL |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR DO29055) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 5101010950) |
Enumeration Date | 2007-01-09 |
Last Update Date | 2013-09-24 |