Medical school: UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated: 1992
Also: SPORTS MEDICINE
NPI: 1083673776
Practice Locations (1)
PRISMA HEALTH UNIVERSITY MEDICAL GROUP
10630 CLEMSON BLVD, SUITE 100
SENECA, SC 296784545
8644826000
Source: CMS National Downloadable File, September 2026.