Medical school: NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated: 2001
NPI: 1902866981
Practice Locations (2)
AEG MARYLAND PROFESSIONAL LLC
139 RITCHIE HWY
SEVERNA PARK, MD 211461152
4105447417
BFT VISION INC
139 RITCHIE HWY, SUITE B
SEVERNA PARK, MD 211461152
4105447417
Source: CMS National Downloadable File, September 2026.