Medical school: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1997
NPI: 1659343408
Practice Locations (2)
MAINEHEALTH
22 STATION AVE
BRUNSWICK, ME 040112092
MAINEHEALTH
22 BRAMHALL ST
PORTLAND, ME 041023134
2078859905
Source: CMS National Downloadable File, September 2026.