Medical school: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated: 2014
NPI: 1962821769
Practice Locations (2)
MAINEHEALTH
1601 CONGRESS ST, SUITE 1
PORTLAND, ME 041022102
2076610100
MAINEHEALTH
22 BRAMHALL ST
PORTLAND, ME 041023134
2078859905
Source: CMS National Downloadable File, September 2026.