Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated: 1996
Offers telehealth
NPI: 1649475724
Practice Locations (2)
784 SHELTON RD B
Crownsville, MD 210321735
784 B SHELTON RD
CROWNSVILLE, MD 210321735
4432861787
Source: CMS National Downloadable File, September 2026.