Medical school: TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated: 1992
NPI: 1699708321
Practice Locations (2)
MEDSTAR MEDICAL GROUP II LLC
1133 21ST ST NW, MEDSTAR AT LAFAYETTE CENTRE
WASHINGTON, DC 200363390
2024162000
MEDSTAR MEDICAL GROUP II LLC
2118 GREENSPRING DR
TIMONIUM, MD 210933112
4105603480
Source: CMS National Downloadable File, September 2026.