Medical school: UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated: 1989
NPI: 1992956601
Practice Locations (2)
820 W DIAMOND AVE, SUITE 500
GAITHERSBURG, MD 208781400
820 W DIAMOND AVE, SUITE 500
GAITHERSBURG, MD 208781469
Source: CMS National Downloadable File, September 2026.