Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2003
Offers telehealth
NPI: 1609891415
Practice Locations (1)
NORTH CAROLINA MG LLC
4225 MACON POND RD, SUITE 200
RALEIGH, NC 276076320
9197912040
Source: CMS National Downloadable File, September 2026.