Graduated: 1996
NPI: 1588783567
Practice Locations (3)
2301 ANNAPOLIS RD
BALTIMORE, MD 212303101
4106852377
4109 ANNAPOLIS RD
BALTIMORE, MD 212273605
4436186564
4313 BEL PRE RD
ROCKVILLE, MD 208532050
3014420908
Source: CMS National Downloadable File, September 2026.