Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1979
NPI: 1003819780
Practice Locations (2)
LEGACY HEALTHCARE SERVICES INC
2701 PICKETT RD
DURHAM, NC 277055688
9194199600
RALEIGH ORTHOPAEDIC CLINIC PA
3001 EDWARDS MILL RD, SUITE 200
RALEIGH, NC 276125243
9198636856
Source: CMS National Downloadable File, September 2026.