Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 2004025539 | MO |
Y | 2084N0400X | Neurologist | 7088 | SC |
N | 2084N0402X | Child Neurologist | 2004025539 | MO |
NPI | 1053337907 |
---|---|
Provider Name | David J Walsh |
First Address | Charlotte, NC 28275-1461 |
Second Address | Charleston, SC 29425-8908 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 16/03/2012 |