Graduated: 2018
NPI: 1144887407
Practice Locations (2)
KINETIC MEDICAL GROUP
9544 NEWBRIDGE DR
POTOMAC, MD 208544480
9517601797
NORTHWEST HOSPITAL CENTER INC
5401 OLD COURT RD
RANDALLSTOWN, MD 211335103
4105212200
Source: CMS National Downloadable File, September 2026.