Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 2001
Offers telehealth
NPI: 1619036597
Practice Locations (1)
FAIRFAX FAMILY PRACTICE CENTERS PC
11800 SUNRISE VALLEY DR, SUITE 700
RESTON, VA 201915315
7038341473
Source: CMS National Downloadable File, September 2026.