Medical school: TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated: 1988
NPI: 1710928411
Practice Locations (2)
8909 SHADY GROVE CT
Gaithersburg, MD 208771308
8909 SHADY GROVE CT
GAITHERSBURG, MD 208771308
Source: CMS National Downloadable File, September 2026.