Medical school: UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduated: 2001
NPI: 1336113091
Practice Locations (1)
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
7070 SAMUEL MORSE DR
COLUMBIA, MD 210463424
4103094600
Source: CMS National Downloadable File, September 2026.