Medical school: VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated: 1976
Offers telehealth
NPI: 1780648832
Practice Locations (3)
4612 49TH ST NW
Washington, DC 200164321
4612 49TH NWST
WASHINGTON, DC 200164321
4612 49TH ST NW
WASHINGTON, DC 200164321
2029660224
Source: CMS National Downloadable File, September 2026.