Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1996
Also: PHYSICAL MEDICINE AND REHABILITATION
NPI: 1548237993
Practice Locations (1)
25 W CALHOUN ST
SALEM, VA 241533836
5407721890
Source: CMS National Downloadable File, September 2026.