Medical school: JS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
Graduated: 2002
NPI: 1558397778
Practice Locations (1)
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
101 E W T HARRIS BLVD, SUITE 5203
CHARLOTTE, NC 282623443
7048639300
Source: CMS National Downloadable File, September 2026.