Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 2004
NPI: 1114122017
Practice Locations (2)
MAINEHEALTH
1577 CONGRESS ST
PORTLAND, ME 041022169
MAINEHEALTH
22 BRAMHALL ST
PORTLAND, ME 041023134
2078859905
Source: CMS National Downloadable File, September 2026.