Medical school: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1995
NPI: 1598811259
Practice Locations (1)
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
1500 FOREST GLEN RD, SUITE 300
SILVER SPRING, MD 209101460
3017547000
Source: CMS National Downloadable File, September 2026.