Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 1989
Also: EMERGENCY MEDICINE
NPI: 1508821315
Practice Locations (1)
VIDANT MEDICAL GROUP LLC
1380 COWELL FARM RD
WASHINGTON, NC 278893431
2529462101
Source: CMS National Downloadable File, September 2026.