Medical school: HOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1974
NPI: 1699944264
Practice Locations (2)
11701 LIVINGSTON RD, SUITE 204
FORT WASHINGTON, MD 207445136
11701 LIVINGSTON RD, SUITE 204
FT WASHINGTON, MD 207445136
3012920757
Source: CMS National Downloadable File, September 2026.