National Provider Identifier (NPI):
1053337907
License Number:
2004025539
Medical School:
Med Univ Of Sc Coll Of Med, Charleston Sc 29425
Residency Training:
Med Univ Sc Med Ctr, Neurology; Med Univ Sc Med Ctr, Pediatrics
Certifications:
Neurology With Special Qualifications In; Pediatrics