Medical school: CENTRAL MICHIGAN COLLEGE OF MEDICINE
Graduated: 2021
NPI: 1457969248
Practice Locations (2)
TIDALHEALTH SPECIALTY CARE LLC
100 E CARROLL ST
SALISBURY, MD 218015422
TIDALHEALTH SPECIALTY CARE LLC
400 EASTERN SHORE DR
SALISBURY, MD 218045513
Source: CMS National Downloadable File, September 2026.