AMA Member: | No |
Gender: | Male |
National Provider Identifier (NPI): | 1710960083 |
License Number: | 12976 |
License State: | SC |
Medical School: | "Bowman Gray Sch Of Med Of Wake Forest Univ, Winston-Salem Nc 27157" |
Residency Training: | "Naval Reg Med Ctr, Nephrology; Naval Reg Med Ctr, Internal Medicine" |
Graduation Year: | 1976 |
Certifications: | Internal Medicine |