Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2000
NPI: 1407893811
Practice Locations (2)
CENTERWELL SENIOR PRIMARY CARE VA PLLC
1118 W MERCURY BLVD
HAMPTON, VA 236663328
7572769526
SE VIRGINIA VALUE BASED CARE LLC
NORFOLK, VA 23502
7573542885
Source: CMS National Downloadable File, September 2026.