Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 2004
NPI: 1386819993
Practice Locations (1)
CAROLINAS MEDICAL CENTER
1000 BLYTHE BLVD
CHARLOTTE, NC 282035812
7043552000
Source: CMS National Downloadable File, September 2026.