Medical school: WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2004
NPI: 1619150950
Practice Locations (1)
EASTERN CAROLINA EAR, NOSE AND THROAT-HEAD AND NECK SURGERY, INC
2801 A WOOTEN BLVD
WILSON, NC 278938620
2522912525
Source: CMS National Downloadable File, September 2026.