Medical school: R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Graduated: 1991
NPI: 1194720912
Practice Locations (1)
NOVANT HEALTH MEDICAL GROUP COASTAL REGION LLC
1814 NEW HANOVER MEDICAL PARK DR
WILMINGTON, NC 284035350
9106628765
Source: CMS National Downloadable File, September 2026.