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Home > NC Providers > Vascular Surgeons

Dr. Kirk L. Charles, MD, FACS

Accepting New Patients

(147 Ratings)

Specializes in: Vascular Medicine (Blood Vessel Disease) and Vascular Surgery

Duke University School of Medicine

3713 Benson Drive Suite 201
Raleigh, NC 27609

(919) 235-6520

Dr. Kirk L. Charles, MD, FACS is a vascular medicine specialist in Raleigh, NC specializing in vascular medicine (blood vessel disease) and vascular surgery. He graduated from Duke University School of Medicine. Dr. Kirk L. Charles, MD, FACS is affiliated with WakeMed Health & Hospitals.

Office Locations

WakeMed Health & Hospitals

3000 New Bern Avenue Suite 1130
Raleigh, NC 27610

(919) 350-7600

(919) 235-6590

open_in_new

WakeMed Health & Hospitals

3713 Benson Drive Suite 201
Raleigh, NC 27609

(919) 235-6520

open_in_new

Noteworthy Medicare Patient Procedures Performed by Dr. Kirk L. Charles, MD, FACS in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 5%

By Volume:

ankle brachial index

By Affordability:

excisional debridement

In 2023, among providers in related specialties within North Carolina, Dr. Kirk L. Charles, MD, FACS performed more ankle brachial index (ABI) procedures for Medicare patients than 95% of them and he also had a list price for excisional debridement that was lower than the list prices billed to Medicare by 95% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 25%

By Volume:

abdominal duplex ultrasound

carotid duplex ultrasound

lower extremity arterial duplex

pelvic duplex ultrasound

testicular duplex ultrasound

vascular procedures

By Affordability:

arterial duplex ultrasound

arterial ultrasound

duplex ultrasound

lower extremity arterial duplex

lower extremity arterial ultrasound

vascular studies

vascular ultrasound

venous ultrasound

In 2012, among providers in related specialties within North Carolina, Dr. Kirk L. Charles, MD, FACS performed more abdominal duplex ultrasound, carotid duplex ultrasound, lower extremity arterial duplex, pelvic duplex ultrasound, testicular duplex ultrasound, and vascular procedures procedures for Medicare patients than 75% of them and he also had a list price for arterial duplex ultrasound, arterial ultrasound, duplex ultrasound, lower extremity arterial duplex, lower extremity (leg) arterial ultrasound, vascular studies, vascular ultrasound, and venous ultrasound that was lower than the list prices billed to Medicare by 75% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Kirk L. Charles, MD, FACS treated as a vascular medicine specialist in Raleigh, NC during 2012 were vascular procedures, ultrasound (sonogram), hospital care and inpatient care.

Volume of procedures performed by Dr. Kirk L. Charles, MD, FACS for Medicare patients.

abdominal imaging	13
anastomosis	18
dialysis access procedures	18
doctor visit	440
endarterectomy	16
hospital care	128
inpatient care	128
neck surgery	16
pelvic imaging	13
ultrasound (sonogram)	482
vascular procedures	584

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Kirk L. Charles, MD, FACS treated as a vascular medicine specialist in Raleigh, NC during 2013 were vascular procedures, ultrasound (sonogram), hospital care and inpatient care.

Volume of procedures performed by Dr. Kirk L. Charles, MD, FACS for Medicare patients.

abdominal imaging	14
doctor visit	465
endarterectomy	15
hospital care	97
inpatient care	97
neck surgery	15
pelvic imaging	14
ultrasound (sonogram)	454
vascular procedures	511

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Kirk L. Charles, MD, FACS.

**Gender**
Male	295
Female	294

**Ethnicity**
Non-Hispanic White	366
Black	209
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	246
From 75 to 84	163
85 and over	55
Less than 65	125

Conditions of Medicare patients treated by Dr. Kirk L. Charles, MD, FACS in 2013

Hypertension	75
High Cholesterol	68
Stroke	15
Ischemic Heart Disease	58
Depression	23
Chronic Kidney Disease	52
Asthma	9
Osteoperosis	6
Atrial Fibrilation	20
Heart Failure	42
Chronic Obstructive Pulmonary Disease	28
Diabetes	48
Dementia	16
Cancer	10

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Kirk L. Charles, MD, FACS treated as a vascular medicine specialist in Raleigh, NC during 2014 were vascular procedures, ultrasound (sonogram), hospital care and inpatient care.

Volume of procedures performed by Dr. Kirk L. Charles, MD, FACS for Medicare patients.

abdominal imaging	25
anastomosis	11
dialysis access procedures	11
doctor visit	428
hospital care	147
inpatient care	147
pelvic imaging	25
ultrasound (sonogram)	374
vascular procedures	445

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Kirk L. Charles, MD, FACS.

**Gender**
Male	261
Female	271

**Ethnicity**
Non-Hispanic White	323
Black	183
Hispanic	15
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	218
From 75 to 84	130
85 and over	58
Less than 65	126

Conditions of Medicare patients treated by Dr. Kirk L. Charles, MD, FACS in 2014

Hypertension	75
High Cholesterol	67
Stroke	17
Ischemic Heart Disease	58
Depression	26
Chronic Kidney Disease	48
Asthma	9
Osteoperosis	5
Atrial Fibrilation	18
Heart Failure	40
Chronic Obstructive Pulmonary Disease	24
Diabetes	50
Dementia	16
Cancer	13

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Kirk L. Charles, MD, FACS treated as a vascular medicine specialist in Raleigh, NC during 2015 were vascular procedures, ultrasound (sonogram), hospital care and inpatient care.

Volume of procedures performed by Dr. Kirk L. Charles, MD, FACS for Medicare patients.

abdominal imaging	18
amputation	12
anastomosis	15
dialysis access procedures	15
doctor visit	467
hospital care	69
inpatient care	69
lower extremity surgery	12
pelvic imaging	18
ultrasound (sonogram)	417
vascular procedures	506

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Kirk L. Charles, MD, FACS.

**Gender**
Male	554
Female	598

**Ethnicity**
Non-Hispanic White	706
Black	416
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	424
From 75 to 84	322
85 and over	114
Less than 65	292

Conditions of Medicare patients treated by Dr. Kirk L. Charles, MD, FACS in 2015

Hypertension	75
High Cholesterol	67
Stroke	18
Ischemic Heart Disease	57
Depression	25
Chronic Kidney Disease	51
Asthma	19
Osteoperosis	7
Atrial Fibrilation	14
Heart Failure	36
Chronic Obstructive Pulmonary Disease	29
Diabetes	52
Dementia	17
Cancer	10

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Kirk L. Charles, MD, FACS treated as a vascular medicine specialist in Raleigh, NC during 2016 were vascular procedures, ultrasound (sonogram), hospital care and inpatient care.

Volume of procedures performed by Dr. Kirk L. Charles, MD, FACS for Medicare patients.

abdominal imaging	17
doctor visit	513
endarterectomy	18
hospital care	144
inpatient care	144
minimally invasive procedures	37
neck surgery	18
pelvic imaging	17
ultrasound (sonogram)	504
vascular procedures	598

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Kirk L. Charles, MD, FACS.

**Gender**
Male	284
Female	338

**Ethnicity**
Non-Hispanic White	372
Black	228
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	232
From 75 to 84	174
85 and over	63
Less than 65	153

Conditions of Medicare patients treated by Dr. Kirk L. Charles, MD, FACS in 2016

Hypertension	75
High Cholesterol	67
Stroke	15
Ischemic Heart Disease	54
Depression	29
Chronic Kidney Disease	53
Asthma	29
Osteoperosis	5
Atrial Fibrilation	16
Heart Failure	36
Chronic Obstructive Pulmonary Disease	26
Diabetes	50
Dementia	18
Cancer	10

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Kirk L. Charles, MD, FACS treated as a vascular medicine specialist in Raleigh, NC during 2017 were vascular procedures, ultrasound (sonogram), hospital care and inpatient care.

Volume of procedures performed by Dr. Kirk L. Charles, MD, FACS for Medicare patients.

abdominal imaging	19
anastomosis	14
angioplasty	12
dialysis access procedures	26
doctor visit	596
endarterectomy	11
hospital care	137
inpatient care	137
minimally invasive procedures	11
neck surgery	11
pelvic imaging	19
ultrasound (sonogram)	596
vascular procedures	722

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Kirk L. Charles, MD, FACS.

**Gender**
Male	356
Female	390

**Ethnicity**
Non-Hispanic White	456
Black	256
Hispanic	15
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	304
From 75 to 84	201
85 and over	75
Less than 65	166

Conditions of Medicare patients treated by Dr. Kirk L. Charles, MD, FACS in 2017

Hypertension	75
High Cholesterol	61
Stroke	15
Ischemic Heart Disease	52
Depression	28
Chronic Kidney Disease	52
Asthma	9
Osteoperosis	7
Atrial Fibrilation	17
Heart Failure	36
Chronic Obstructive Pulmonary Disease	26
Diabetes	44
Dementia	16
Cancer	11

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Kirk L. Charles, MD, FACS treated as a vascular medicine specialist in Raleigh, NC during 2018 were vascular procedures, ultrasound (sonogram), hospital care and inpatient care.

Volume of procedures performed by Dr. Kirk L. Charles, MD, FACS for Medicare patients.

abdominal imaging	26
doctor visit	524
endarterectomy	12
hospital care	72
inpatient care	72
minimally invasive procedures	11
neck surgery	12
pelvic imaging	26
ultrasound (sonogram)	400
vascular procedures	494

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Kirk L. Charles, MD, FACS.

**Gender**
Male	285
Female	272

**Ethnicity**
Non-Hispanic White	372
Black	170
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	233
From 75 to 84	171
85 and over	53
Less than 65	100

Conditions of Medicare patients treated by Dr. Kirk L. Charles, MD, FACS in 2018

Hypertension	75
High Cholesterol	71
Stroke	11
Ischemic Heart Disease	55
Depression	26
Chronic Kidney Disease	52
Asthma	8
Osteoperosis	6
Atrial Fibrilation	20
Heart Failure	36
Chronic Obstructive Pulmonary Disease	29
Diabetes	41
Dementia	14
Cancer	10

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Kirk L. Charles, MD, FACS treated as a vascular medicine specialist in Raleigh, NC during 2019 were vascular procedures, ultrasound (sonogram), hospital care and inpatient care.

Volume of procedures performed by Dr. Kirk L. Charles, MD, FACS for Medicare patients.

abdominal imaging	27
anastomosis	19
dialysis access procedures	30
doctor visit	443
hospital care	72
inpatient care	72
pelvic imaging	27
ultrasound (sonogram)	357
vascular procedures	493

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Kirk L. Charles, MD, FACS.

**Gender**
Male	234
Female	199

**Ethnicity**
Non-Hispanic White	279
Black	138
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	174
From 75 to 84	135
85 and over	36
Less than 65	88

Conditions of Medicare patients treated by Dr. Kirk L. Charles, MD, FACS in 2019

Hypertension	75
High Cholesterol	72
Stroke	12
Ischemic Heart Disease	57
Depression	30
Chronic Kidney Disease	55
Asthma	7
Osteoperosis	6
Atrial Fibrilation	14
Heart Failure	37
Chronic Obstructive Pulmonary Disease	31
Diabetes	46
Dementia	14
Cancer	9

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Kirk L. Charles, MD, FACS treated as a vascular medicine specialist in Raleigh, NC during 2020 were vascular procedures, ultrasound (sonogram), hospital care and inpatient care.

Volume of procedures performed by Dr. Kirk L. Charles, MD, FACS for Medicare patients.

abdominal imaging	22
dialysis access procedures	30
doctor visit	432
hospital care	46
inpatient care	46
pelvic imaging	22
ultrasound (sonogram)	283
vascular procedures	367

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Kirk L. Charles, MD, FACS.

**Gender**
Male	211
Female	167

**Ethnicity**
Non-Hispanic White	247
Black	116
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	149
From 75 to 84	111
85 and over	41
Less than 65	77

Conditions of Medicare patients treated by Dr. Kirk L. Charles, MD, FACS in 2020

Hypertension	75
High Cholesterol	73
Stroke	14
Ischemic Heart Disease	60
Depression	28
Chronic Kidney Disease	61
Asthma	8
Osteoperosis	6
Atrial Fibrilation	16
Heart Failure	40
Chronic Obstructive Pulmonary Disease	31
Diabetes	55
Dementia	17
Cancer	13

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Kirk L. Charles, MD, FACS treated as a vascular medicine specialist in Raleigh, NC during 2021 were vascular procedures, ultrasound (sonogram), hospital care and inpatient care.

Volume of procedures performed by Dr. Kirk L. Charles, MD, FACS for Medicare patients.

abdominal imaging	27
dialysis access procedures	20
doctor visit	352
hospital care	44
inpatient care	44
pelvic imaging	27
ultrasound (sonogram)	293
vascular procedures	386

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Kirk L. Charles, MD, FACS.

**Gender**
Male	234
Female	172

**Ethnicity**
Non-Hispanic White	292
Black	95
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	158
From 75 to 84	139
85 and over	50
Less than 65	59

Conditions of Medicare patients treated by Dr. Kirk L. Charles, MD, FACS in 2021

Hypertension	75
High Cholesterol	75
Stroke	16
Ischemic Heart Disease	58
Depression	29
Chronic Kidney Disease	59
Asthma	4
Osteoperosis	7
Atrial Fibrilation	19
Heart Failure	38
Chronic Obstructive Pulmonary Disease	24
Diabetes	49
Dementia	17
Cancer	11

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Kirk L. Charles, MD, FACS treated as a vascular medicine specialist in Raleigh, NC during 2022 were vascular procedures, ultrasound (sonogram), pelvic imaging and abdominal imaging.

Volume of procedures performed by Dr. Kirk L. Charles, MD, FACS for Medicare patients.

abdominal imaging	33
debridement (removal of unhealthy tissue)	15
doctor visit	401
excision	15
hospital care	28
inpatient care	28
pelvic imaging	33
ultrasound (sonogram)	303
vascular procedures	398

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Kirk L. Charles, MD, FACS.

**Gender**
Male	238
Female	200

**Ethnicity**
Non-Hispanic White	325
Black	99
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	152
From 75 to 84	178
85 and over	59
Less than 65	49

Conditions of Medicare patients treated by Dr. Kirk L. Charles, MD, FACS in 2022

Hypertension	75
High Cholesterol	75
Stroke	20
Ischemic Heart Disease	54
Depression	31
Chronic Kidney Disease	47
Asthma	10
Osteoperosis	13
Atrial Fibrilation	27
Heart Failure	38
Chronic Obstructive Pulmonary Disease	32
Diabetes	47
Dementia	11
Cancer	18

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Kirk L. Charles, MD, FACS for Medicare patients.

The highest averages for the top procedures that Dr. Kirk L. Charles, MD, FACS treated as a vascular medicine specialist in Raleigh, NC were vascular procedures, ultrasound (sonogram), inpatient care and hospital care.

abdominal imaging	21
amputation	12
anastomosis	15
angioplasty	12
debridement (removal of unhealthy tissue)	15
dialysis access procedures	21
doctor visit	460
endarterectomy	14
excision	15
hospital care	89
inpatient care	89
lower extremity surgery	12
minimally invasive procedures	19
neck surgery	14
pelvic imaging	21
ultrasound (sonogram)	405
vascular procedures	500

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Kirk L. Charles, MD, FACS.

**Gender**
Male	268
Female	263

**Ethnicity**
Black / African American	173
Asian / Pacific Islander	0
Non-Hispanic White	339
Native American / Alaskan Native	0
Hispanic	2
Other	0

**Age**
75 to 84	156
85 and over	54
Less than 65	112
65 to 74	208

Average of Total of Conditions of Medicare patients treated by Dr. Kirk L. Charles, MD, FACS From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Kirk L. Charles, MD, FACS treated were hypertension, high cholesterol, ischemic heart disease and chronic kidney disease.

Hypertension	68
High Cholesterol	63
Stroke	13
Ischemic Heart Disease	51
Depression	25
Chronic Kidney Disease	48
Asthma	10
Osteoporosis	6
Heart Failure	34
Chronic Obstructive Pulmonary Disease	25
Diabetes	43
Atrial Fibrillation	16
Dementia	14
Cancer	10

Education & Training

Dr. Kirk L. Charles, MD, FACS graduated from Duke University School of Medicine. He completed residency at SUNY, University at Buffalo Affiliated Hospitals. He is certified by the American Board of Surgery, subspecialty in Vascular Surgery and has a state license in Maryland.

Medical School: Duke University School of Medicine

Residency: SUNY, University at Buffalo Affiliated Hospitals

Board Certification: American Board of Surgery, subspecialty in Vascular Surgery

Licensed In: Maryland

Affiliations & Hospitals

Dr. Kirk L. Charles, MD, FACS is associated with these hospitals and organizations:

WakeMed Health & Hospitals

Ratings & Reviews

Dr. Kirk L. Charles, MD, FACS has an exceptional overall rating with an average of 4.96 out of 5 stars based on 147 ratings. We collect ratings and reviews of Dr. Kirk L. Charles, MD, FACS from all over the web to help you find the right in Raleigh, NC.

4.96

Overall Rating

(147 Ratings)

Leave a Review

General Payments

These charts describe general payments received by Dr. Kirk L. Charles, MD, FACS. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Cardiovascular Systems Inc.	$1,961 Peripheral Orbital Atherectomy System $1,608	Atherectomy Device $332	Diamondback Peripheral $17	Coronary Orbital Atherectomy System $4
Silk Road Medical, Inc.	$1,619 ENROUTE 0.014 Guidewire $1,256	ENROUTE Transcarotid Stent $177	ENROUTE .014 Guidewire $156	ENROUTE Transcarotid Neuroprotection System $29
Medtronic Vascular, Inc.	$1,599 Aortic Stent Grafts $1,152	Endurant $242	Valiant Captivia $178	IN.PACT Admiral $12	Aptus Heli-FX $11	Other $2
Penumbra, Inc.	$482 Indigo $311	Ruby $171
Boston Scientific Corporation	$351 ELUVIA $108	GENERAL ATHERECTOMY $44	JETSTREAM SC $39	GENERAL - VASCULAR INTERVENTION $22	OTHER- BSC PRODUCT NOT LISTED $22	Other $116
Other	$2,563 GRAFIX PL $148	ELIQUIS $139	GORE ACUSEAL Vascular Graft $128	PuraPly $114	VenaCure 1470 Pro $105	Other $1,929

**Types of Payments**
Food and Beverage	$5,147
Travel and Lodging	$3,413
Education	$14

Biography

Dr. Kirk Charles' specialties are vascular surgery and vascular medicine (blood vessel disease). He practices in Raleigh, NC. Patient ratings for Dr. Charles average 5.0 stars (out of 5). He is professionally affiliated with WakeMed Health & Hospitals. Dr. Charles welcomes new patients at his office inRaleigh, NC as reported by WakeMed Health & Hospitals. He attended Duke University School of Medicine and then went on to complete his residency at a hospital affiliated with SUNY, University at Buffalo.

Select Year:

Dr. Kirk L. Charles, MD, FACS

Office Locations

Noteworthy Medicare Patient Procedures Performed by Dr. Kirk L. Charles, MD, FACS in 2023

By Volume:

By Affordability:

By Volume:

By Affordability:

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

2013 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Kirk L. Charles, MD, FACS in 2013

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

2014 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Kirk L. Charles, MD, FACS in 2014

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

2015 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Kirk L. Charles, MD, FACS in 2015

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

2016 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Kirk L. Charles, MD, FACS in 2016

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

2017 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Kirk L. Charles, MD, FACS in 2017

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

2018 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Kirk L. Charles, MD, FACS in 2018

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

2019 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Kirk L. Charles, MD, FACS in 2019

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

2020 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Kirk L. Charles, MD, FACS in 2020

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

2021 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Kirk L. Charles, MD, FACS in 2021

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

2022 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Kirk L. Charles, MD, FACS in 2022

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Average Medicare Patient Data From 2012 - 2022

Average of Total of Conditions of Medicare patients treated by Dr. Kirk L. Charles, MD, FACS From 2012 - 2022

Education & Training

Affiliations & Hospitals

Ratings & Reviews

General Payments

Biography

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