Medical school: UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduated: 1993
NPI: 1780644344
Practice Locations (2)
MEDSTAR MEDICAL GROUP II LLC
1145 19TH ST NW, 311 MMG AT 19TH STREET NW
WASHINGTON, DC 200363735
2024292401
MEDSTAR MEDICAL GROUP II LLC
25500 POINT LOOKOUT RD
LEONARDTOWN, MD 206502015
2404344088
Source: CMS National Downloadable File, September 2026.