Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2002
NPI: 1669452728
Practice Locations (2)
TIDALHEALTH SPECIALTY CARE LLC
100 E CARROLL ST
SALISBURY, MD 218015422
TIDALHEALTH SPECIALTY CARE LLC
400 EASTERN SHORE DR
SALISBURY, MD 218045513
Source: CMS National Downloadable File, September 2026.