Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 1996
NPI: 1578536991
Practice Locations (1)
CAROLINAS PHYSICIANS NETWORK INC
4525 CAMERON VALLEY PKWY, SUITE 1600
CHARLOTTE, NC 282114373
7045123800
Source: CMS National Downloadable File, September 2026.