Medical school: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated: 1977
NPI: 1922005537
Practice Locations (1)
DERMATOLOGY AND DERMATOLOGIC SURGERY GROUP OF NORTHERN VIRGINIA PLLC
243 CHURCH ST NW, SUITE 200C
VIENNA, VA 221804436
7039385700
Source: CMS National Downloadable File, September 2026.