Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 1990
Also: PEDIATRIC MEDICINE
NPI: 1760485486
Practice Locations (1)
FORSYTH MEMORIAL HOSPITAL INC
100 ROBINHOOD MEDICAL PLZ
WINSTON SALEM, NC 271065476
3367180800
Source: CMS National Downloadable File, September 2026.