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LICENSE # 0101046454

Issue Date: 5/1/1991
Expiration Date: 3/31/2018
Status: Current Active

General InformationEducationCertifications & Practice AreaInsuranceHonors & AwardsAcademic Appointments & PublicationsProceedings, Actions & ConvictionsPaid Claims
Unless otherwise indicated, this information has been self-reported and has not been verified by the Board of Medicine.

Primary Practice Address
Last Updated 2/24/2014
None Reported
Years in Active Clinical Practice
Last Updated 2/24/2014
Years in Active Clinical Practice Inside US/Canada: 30
Last Updated 2/24/2014
Does Not Participate in the Virginia Medicaid program
Is not accepting new Virginia Medicaid patients
Virginia Hospital Affiliations
Last Updated 2/24/2014
None Reported
Hospital Affiliations in States Other Than Virginia
Last Updated 2/24/2014