A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Neurology | 2084N0400X |
| Sports Medicine | 2084S0010X |
* Indicates primary specialty
| NPI Number | 1669009395 |
| Credentials | MD |
| Entity | Individual |
| Enumeration date | 03/24/2020 |
| Last updated | 07/02/2025 - About 11 months ago |
| Sole proprietor1 | No |
| Identifiers |
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| Hospital affiliation | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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