Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1977
NPI: 1699898528
Practice Locations (2)
5415 CONNECTICUT AVE NW, SUITE T43
WASHINGTON, DC 200152786
5415 CONNECTICUT NW AVE
WASHINGTON, DC 200152786
2022378300
Source: CMS National Downloadable File, September 2026.