Medical school: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1994
NPI: 1467430579
Practice Locations (2)
TIDALHEALTH SPECIALTY CARE LLC
11103 CATHAGE RD
BERLIN, MD 218112114
4109126021
TIDALHEALTH SPECIALTY CARE LLC
100 E CARROLL ST
SALISBURY, MD 218015422
Source: CMS National Downloadable File, September 2026.