Medical school: WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1978
Also: VASCULAR SURGERY
NPI: 1356344592
Practice Locations (1)
MEDICAL PRACTICES OF ANTIETAM, LLC
11110 MEDICAL CAMPUS RD, SUITE 243
HAGERSTOWN, MD 217426756
3016654780
Source: CMS National Downloadable File, September 2026.