Medical school: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated: 1991
NPI: 1407921372
Practice Locations (2)
1414 CRAIN HWY N, SUITE 5A
GLEN BURNIE, MD 210619307
1414 CRAIN N HWY 5A
GLEN BURNIE, MD 210619307
4107667016
Source: CMS National Downloadable File, September 2026.