Medical school: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated: 2006
NPI: 1669694402
Practice Locations (2)
STATERA HEALTH CARE LLC
28 CHICK ST
METROPOLIS, IL 629602467
6184272680
WAKE FOREST EMERGENCY PROVIDERS
336 DEERFIELD RD
BOONE, NC 286075008
3367162255
Source: CMS National Downloadable File, September 2026.