Medical school: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated: 2002
Also: SPORTS MEDICINE
NPI: 1508875972
Practice Locations (1)
WAKE FOREST UNIVERSITY HEALTH SCIENCES
2311 LEWISVILLE CLEMMONS RD
CLEMMONS, NC 270128905
3367162255
Source: CMS National Downloadable File, September 2026.