Medical school: WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated: 2004
NPI: 1003879495
Practice Locations (1)
INTEGRATED DERMATOLOGY OF TIDEWATER LLC
885 KEMPSVILLE RD, SUITE 309
NORFOLK, VA 235023800
7574611033
Source: CMS National Downloadable File, September 2026.