Medical school: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated: 2004
NPI: 1497982110
Practice Locations (1)
PRISMA HEALTH MEDICAL GROUP-MIDLANDS
9 RICHLAND MEDICAL PARK DR
COLUMBIA, SC 292036870
8034342833
Source: CMS National Downloadable File, September 2026.