Normally it means someone who studies the nerves and the brain, but when used in an angry, directed tone it means every bad name known to man, all directed at a person to degrade them to the lowest point possible.
He's the lowliest douche bag ever, I can't stand him, he's such a neurologist.
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Evil fat-cock?
Hym "Ha! I saw the article abkut swole neurologist but I didn't think it would throw conservatives into full-on shill coverage mode."