| 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 |