Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1991
Offers telehealth
NPI: 1518053909
Practice Locations (1)
CAPITAL BRAIN CENTER, PA
23 SURREY CT
COLUMBIA, SC 292123139
8035512900
Source: CMS National Downloadable File, September 2026.