Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 1986
NPI: 1093887408
Practice Locations (2)
MAINEHEALTH
22 BRAMHALL ST
PORTLAND, ME 041023134
2078859905
MAINEHEALTH
92 CAMPUS DR
SCARBOROUGH, ME 040747229
Source: CMS National Downloadable File, September 2026.