Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1993
NPI: 1720159940
Practice Locations (2)
MEDSTAR MEDICAL GROUP II LLC
102 IRVING ST NW
WASHINGTON, DC 200103010
2028771000
MEDSTAR MEDICAL GROUP II LLC
2002 MEDICAL PKWY
ANNAPOLIS, MD 214013046
4105736480
Source: CMS National Downloadable File, September 2026.