Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 11704 | WV |
NPI | 1093895799 |
---|---|
Provider Name | Stephen J Sharp |
First Address | Washington, DC 20307-0001 |
Second Address | Washington, DC 20307-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 08/07/2007 |