Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1995
Offers telehealth
NPI: 1043250111
Practice Locations (1)
NOVANT HEALTH MEDICAL GROUP COASTAL REGION LLC
1960 S 16TH ST
WILMINGTON, NC 284016676
9106626000
Source: CMS National Downloadable File, September 2026.