Medical school: BOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2012
NPI: 1821463068
Practice Locations (2)
FITNESS FORUM OF MARYLAND, LLC
2448 HOLLY AVE, SUITE 200
ANNAPOLIS, MD 214018539
4102954941
8820 COLUMBIA 100 PKWY, SUITE 215
COLUMBIA, MD 210452143
4432419595
Source: CMS National Downloadable File, September 2026.