Medical school: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1994
Also: CRITICAL CARE (INTENSIVISTS)
NPI: 1033181219
Practice Locations (1)
PENN STATE HEALTH MEDICAL GROUP LLC
2605 KEISER BLVD
WYOMISSING, PA 196103338
6706858500
Source: CMS National Downloadable File, September 2026.