Medical school: PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1992
NPI: 1679510648
Practice Locations (2)
TIDALHEALTH SPECIALTY CARE LLC
100 E CARROLL ST
SALISBURY, MD 218015422
VALLEY PHYSICIAN ENTERPRISE INC
1880 AMHERST ST, SUITE 310
WINCHESTER, VA 226012808
5405366721
Source: CMS National Downloadable File, September 2026.