Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 1993
NPI: 1205837648
Practice Locations (2)
2021 K ST NW
WASHINGTON, DC 200061003
8110 MAPLE LAWN BLVD, SUITE 235
FULTON, MD 207352694
Source: CMS National Downloadable File, September 2026.