Medical school: JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1994
NPI: 1407876196
Practice Locations (2)
MEDSTAR MEDICAL GROUP II LLC
110 IRVING ST NW
WASHINGTON, DC 200103017
2028777000
MEDSTAR MEDICAL GROUP II LLC
5601 LLOCH RAVEN BLVD
BALTIMORE, MD 212392945
4434448000
Source: CMS National Downloadable File, September 2026.