Medical school: COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated: 1985
NPI: 1972565406
Practice Locations (3)
692 A RITCHIE HWY, SUITE 2B
Severna Park, MD 211463971
692A RITCHIE HWY, 2B
SEVERNA PARK, MD 211463971
692A RITCHIE HWY, SUITE 2B
SEVERNA PARK, MD 211463971
4106470123
Source: CMS National Downloadable File, September 2026.