Medical school: UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduated: 2002
NPI: 1346396348
Practice Locations (1)
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
3400 BOX HILL CORPORATE CTR DR, SUITE 100
ABINGDON, MD 210091290
4105155440
Source: CMS National Downloadable File, September 2026.