Medical school: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated: 1993
NPI: 1730235524
Practice Locations (2)
MGMC LLC
2233 WISCONSIN AVE NW
WASHINGTON, DC 200074104
2023371431
MEDSTAR MEDICAL GROUP II LLC
2233 WISCONSIN AVE NW
WASHINGTON, DC 200074196
2023334134
Source: CMS National Downloadable File, September 2026.