Medical school: VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated: 1980
NPI: 1851316566
Practice Locations (2)
7845 OAKWOOD RD, SUITE 301
Glenburnie, MD 210614266
7845 OAKWOOD RD, SUITE 301
GLEN BURNIE, MD 210614266
4107601171
Source: CMS National Downloadable File, September 2026.