Medical school: R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Graduated: 1992
Offers telehealth
NPI: 1669498028
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
1221 MERCANTILE LN
LARGO, MD 207745374
3016185700
8316 ARLINGTON BLVD
FAIRFAX, VA 220315216
7032894600
Source: CMS National Downloadable File, September 2026.