Medical school: DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated: 1999
NPI: 1477554830
Practice Locations (1)
VIDANT MEDICAL GROUP LLC
500 S ACADEMY ST, VIDANT ROANOKE CHOWAN HOSPITAL
AHOSKIE, NC 279103261
2522093360
Source: CMS National Downloadable File, September 2026.