Medical school: UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated: 2003
Offers telehealth
NPI: 1124225222
Practice Locations (2)
7651 MATAPEAKE BUSINESS DR, SUITE 204
BRANDYWINE, MD 206133042
2402522140
4470 REGENCY PL, SUITE 106
WHITE PLAINS, MD 206953085
2402522140
Source: CMS National Downloadable File, September 2026.