Medical school: WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated: 1998
Offers telehealth
NPI: 1669455382
Practice Locations (2)
130 N AUDUBON AVE
MOORESVILLE, NC 281179150
15 GRUMMAN RD W, SUITE 1400
BETHPAGE, NY 117145029
Source: CMS National Downloadable File, September 2026.