Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 2007
Also: GENERAL PRACTICE
NPI: 1801096821
Practice Locations (1)
NORTH CAROLINA MG LLC
3050 DURALEIGH RD, SUITE 111
RALEIGH, NC 276125451
9842156990
Source: CMS National Downloadable File, September 2026.