Medical school: PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2017
NPI: 1922531714
Practice Locations (2)
WAKE FOREST UNIVERSITY HEALTH SCIENCES
2718 HENRY ST
GREENSBORO, NC 274053633
3363751007
OANDW ENTERPRISES
935 FAIRYSTONE PARK HWY
STANLEYTOWN, VA 241683014
8887240268
Source: CMS National Downloadable File, September 2026.