Medical school: MEDICAL COLLEGE OF OHIO
Graduated: 1981
NPI: 1619049392
Practice Locations (3)
2000 HEALTH PARK DR
BRENTWOOD, TN 370274692
4901 BRAMBLETON AVE
ROANOAKE, VA 240184149
4901 BRAMBLETON AVE
Roanoke, VA 240184149
Source: CMS National Downloadable File, September 2026.