Medical school: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated: 1992
NPI: 1215969126
Practice Locations (2)
CAROLINAS MEDICAL CENTER
1000 BLYTHE BLVD
CHARLOTTE, NC 282035812
7043552000
CAROLINAS MEDICAL CENTER
400 E MOREHEAD ST, SUITE 202
CHARLOTTE, NC 282022610
7043550607
Source: CMS National Downloadable File, September 2026.