Medical school: PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduated: 1984
NPI: 1285617506
Practice Locations (2)
3355 SAINT JOHNS LN, SUITE F
ELLICOTT CITY, MD 210422600
3355 SAINT JOHNS LN F
ELLICOTT CITY, MD 210422600
4104652056
Source: CMS National Downloadable File, September 2026.