Medical school: KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS
Graduated: 2000
NPI: 1477521482
Practice Locations (3)
MAINEHEALTH
1 MEDICAL CTR DR
BIDDEFORD, ME 040059422
2072824270
MAINEHEALTH
9 HEALTHCARE DR
BIDDEFORD, ME 040059449
2072830998
MAINEHEALTH
22 BRAMHALL ST
PORTLAND, ME 041023134
2078859905
Source: CMS National Downloadable File, September 2026.