Medical school: NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated: 2000
NPI: 1962472571
Practice Locations (2)
PROACTIVE THERAPY OF NORTH CAROLINA INC
2303 WELLINGTON DR SW, SUITE B
WILSON, NC 278938620
2522436818
56 SUGAR CREEK CTR BLVD, SUITE 250
SUGAR LAND, TX 774784601
2812423338
Source: CMS National Downloadable File, September 2026.