Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 1998
NPI: 1366450058
Practice Locations (2)
MEDSTAR MEDICAL GROUP II LLC
1133 21ST ST NW, MEDSTAR AT LAFAYETTE CENTRE
WASHINGTON, DC 200363390
2024162000
MEDSTAR MEDICAL GROUP II LLC
810 BESTGATE RD
ANNAPOLIS, MD 214013648
4105731110
Source: CMS National Downloadable File, September 2026.