Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 1995
Also: INTERNAL MEDICINE
NPI: 1316953235
Practice Locations (1)
NORTH CAROLINA MG LLC
4420 LAKE BOONE TRL
RALEIGH, NC 276077505
9842154000
Source: CMS National Downloadable File, September 2026.