Medical school: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2006
Also: CRITICAL CARE (INTENSIVISTS)
NPI: 1992971287
Practice Locations (1)
NORTH CAROLINA MG LLC
4420 LAKE BOONE TRL
RALEIGH, NC 276077505
9842154000
Source: CMS National Downloadable File, September 2026.