Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 2007
NPI: 1437358157
Practice Locations (2)
MAINEHEALTH
22 BRAMHALL ST
PORTLAND, ME 041023134
2078859905
MAINEHEALTH
887 CONGRESS ST, SUITE 200
PORTLAND, ME 041023166
2077715549
Source: CMS National Downloadable File, September 2026.