Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 1979
NPI: 1851390280
Practice Locations (1)
VIDANT MEDICAL GROUP LLC
500 ACADEMY ST S, VIDANT ROANOKE CHOWAN HOSPITALISTS
AHOSKIE, NC 279103248
2522093708
Source: CMS National Downloadable File, September 2026.