Medical school: STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduated: 1995
NPI: 1477597664
Practice Locations (2)
AGAPE PHYSICAL THERAPY AND SPORTS REHABILITATION LP
12 NEWPORT DR, SUITE A
FOREST HILL, MD 210501758
MEDSTAR MEDICAL GROUP II LLC
2118 GREENSPRING DR
TIMONIUM, MD 210933112
4105603480
Source: CMS National Downloadable File, September 2026.