| NPI | 1508978750 |
|---|---|
| Professional Name | SHANE B RUSSELL-JENKINS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NM MD2004-0132) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2010-09-09 |