Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 1984
NPI: 1972589935
Practice Locations (1)
NORTH CAROLINA MG LLC
8300 HEALTH PARK, SUITE 327
RALEIGH, NC 276154731
9197912040
Source: CMS National Downloadable File, September 2026.