Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1983
NPI: 1437134863
Practice Locations (1)
WAKE FOREST UNIVERSITY HEALTH SCIENCES
500 SHEPHERD ST, SUITE 200
WINSTON SALEM, NC 271031633
3367162734
Source: CMS National Downloadable File, September 2026.