Graduated: 2025
NPI: 1114777612
Practice Locations (3)
3905 NATIONAL DR, SUITE 200
BURTONSVILLE, MD 208666143
1301 YORK RD, SUITE 800
LUTHERVILLE, MD 210936065
9417 LYONSWOOD DR
OWINGS MILLS, MD 211177139
Source: CMS National Downloadable File, September 2026.