Medical school: EASTERN VIRGINIA MEDICAL SCHOOL
Graduated: 1986
Also: CRITICAL CARE (INTENSIVISTS)
NPI: 1619967049
Practice Locations (1)
TIDALHEALTH SPECIALTY CARE LLC
100 E CARROLL ST, TIDALHEALTH PULMONARY
SALISBURY, MD 218015422
4105437722
Source: CMS National Downloadable File, September 2026.