Medical school: UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated: 1990
NPI: 1962497321
Practice Locations (1)
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
1001 BLYTHE BLVD
CHARLOTTE, NC 282035866
7043811450
Source: CMS National Downloadable File, September 2026.