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 |
| Clinical Neurophysiology | 2084N0600X | |
| Sports Medicine | 2084S0010X |
* Indicates primary specialty
| NPI Number | 1962509067 |
| Credentials | DO (Doctor of Osteopathic) |
| Entity | Individual |
| Enumeration date | 09/20/2006 |
| Last updated | 06/04/2025 - More than a year ago |
| Sole proprietor1 | Yes |
| 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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