Medical school: UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduated: 2002
NPI: 1093781254
Practice Locations (2)
MAINEHEALTH
22 BRAMHALL ST
PORTLAND, ME 041023134
2078859905
MAINEHEALTH
887 CONGRESS ST
PORTLAND, ME 041023100
2073967606
Source: CMS National Downloadable File, September 2026.