Medical school: ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated: 2004
NPI: 1245408988
Practice Locations (2)
MEDSTAR MEDICAL GROUP II LLC
110 IRVING ST NW
WASHINGTON, DC 200103017
2028777000
MEDSTAR MEDICAL GROUP II LLC
201 E UNIVERSITY PKWY
BALTIMORE, MD 212182829
4105542000
Source: CMS National Downloadable File, September 2026.