Medical school: UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated: 1993
NPI: 1992780357
Practice Locations (2)
MAINEHEALTH
22 BRAMHALL ST
PORTLAND, ME 041023134
2078859905
MAINEHEALTH
25 A JUNE ST
SANFORD, ME 040732642
Source: CMS National Downloadable File, September 2026.