Medical school: EASTERN VIRGINIA MEDICAL SCHOOL
Graduated: 1989
NPI: 1720033541
Practice Locations (2)
PENINSULA PLASTIC SURGERY P C
30265 COMMERCE DR, UNIT 208
MILLSBORO, DE 199663728
3026630119
PENINSULA PLASTIC SURGERY P C
314 W CARROLL ST, SUITE 1
SALISBURY, MD 218015409
4105460464
Source: CMS National Downloadable File, September 2026.