Medical school: WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1997
NPI: 1568441582
Practice Locations (2)
UMMS AMBULATORY CARE LLC
28522 MARLBORO AVE, SUITE C
EASTON, MD 216012792
4437460086
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
1701 TWIN SPRINGS RD
HALETHORPE, MD 212273553
4107375000
Source: CMS National Downloadable File, September 2026.