Medical school: OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2002
NPI: 1588656342
Practice Locations (1)
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
1090 NE GATEWAY CT NE, SUITE 204
CONCORD, NC 280252423
7044037020
Source: CMS National Downloadable File, September 2026.