Medical school: UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduated: 1990
NPI: 1518924372
Practice Locations (1)
MEDSTAR MEDICAL GROUP II LLC
1133 21ST ST NW, MEDSTAR AT LAFAYETTE CENTRE
WASHINGTON, DC 200363390
2024162000
Source: CMS National Downloadable File, September 2026.