Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2003
NPI: 1730295155
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
7070 SAMUEL MORSE DR
COLUMBIA, MD 210463424
4103094600
LUMINIS HEALTH MEDICAL GROUP, LLC
8109 RITCHIE HWY, SUITE 100
PASADENA, MD 211226903
4434811000
Source: CMS National Downloadable File, September 2026.