National Provider Identifier (NPI):
1124070404
License Number:
C1-0000918
Medical School:
Bowman Gray Sch Of Med Of Wake Forest Univ, Winston-Salem Nc 27157
Residency Training:
Mass Gen Hosp, Neurology; Children'S Hosp, Pediatrics
Certifications:
Neurology With Special Qualifications In; Pediatrics