Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 2003
NPI: 1891872016
Practice Locations (1)
UNIVERSITY OF MARYLAND FACULTY PHYSICIANS IMMEDIATE CARE LLC
5890 WATERLOO RD
COLUMBIA, MD 210452617
6672141800
Source: CMS National Downloadable File, September 2026.