Medical school: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1984
NPI: 1114969987
Practice Locations (2)
UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP INC
2200 KERNAN DR
GWYNN OAK, MD 212076665
4104482500
MDICS AT UMROI, LLC
2200 KERNAN DR
GWYNN OAK, MD 212076665
4439490814
Source: CMS National Downloadable File, September 2026.