Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 1993
NPI: 1194775932
Practice Locations (2)
6011 UNIVERSITY BLVD, SUITE 190
ELLICOTT CITY, MD 210436104
3017253010
615 MAIN ST
LAUREL, MD 207074065
3017253010
Source: CMS National Downloadable File, September 2026.