Medical school: WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1316917966
Practice Locations (1)
MONONGALIA COUNTY GENERAL HOSPITAL COMPANY
1000 MON HEALTH MEDICAL PARK DR, SUITE 1201
MORGANTOWN, WV 265051143
3045999400
Source: CMS National Downloadable File, September 2026.