Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1013954015
Practice Locations (3)
UNIVERSITY OF PENN-MEDICAL GROUP
3400 CIVIC CTR BLVD
PHILADELPHIA, PA 191045127
2156622300
UNIVERSITY OF PENN-MEDICAL GROUP
3600 CIVIC CTR BLVD
PHILADELPHIA, PA 19104
UNIVERSITY OF PENN-MEDICAL GROUP
3737 MARKET ST, FL 9
PHILADELPHIA, PA 191045545
2152949525
Source: CMS National Downloadable File, September 2026.