Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 1970
NPI: 1124042254
Practice Locations (2)
PRIVIA MEDICAL GROUP, LLC
6685 MINK HOLLOW RD
HIGHLAND, MD 207779763
3018543444
PRIVIA MEDICAL GROUP, LLC
11350 PEMBROOKE SQ, SUITE 304
WALDORF, MD 206034809
5713668845
Source: CMS National Downloadable File, September 2026.