Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 1990
NPI: 1134187594
Practice Locations (1)
SOUTHERN DERMATOLOGY PA
1099 MEDICAL CTR DR, UNIT 200300
WILMINGTON, NC 284017346
9102519944
Source: CMS National Downloadable File, September 2026.