Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 2011
Offers telehealth
NPI: 1669764932
Practice Locations (2)
4700 HOMEWOOD CT, SUITE 220
RALEIGH, NC 276095711
4700 HOMEWOOD CT, SUITE 220
RALEIGH, NC 276095732
9197877125
Source: CMS National Downloadable File, September 2026.