Medical school: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated: 2004
NPI: 1598942765
Practice Locations (1)
PROFESSIONAL SERVICES OF HOLY CROSS
1500 FOREST GLEN RD
SILVER SPRING, MD 209101460
3017547000
Source: CMS National Downloadable File, September 2026.