Medical school: UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduated: 1970
NPI: 1689686768
Practice Locations (2)
5401 TWIN KNOLLS RD
COLUMBIA, MD 210453237
4107304442
5401 TWIN KNOLLS RD, SUITE 10
COLUMBIA, MD 210453257
4107304442
Source: CMS National Downloadable File, September 2026.