Medical school: UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduated: 1999
NPI: 1548235641
Practice Locations (2)
WAKE FOREST UNIVERSITY HEALTH SCIENCES
799 HICKORY TREE RD
WINSTON SALEM, NC 271279243
WAKE FOREST UNIVERSITY HEALTH SCIENCES
MEDICAL CTR BLVD
WINSTON SALEM, NC 271570001
3367162734
Source: CMS National Downloadable File, September 2026.