Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1996
Also: FAMILY PRACTICE
NPI: 1043286156
Practice Locations (1)
THE GOOD SAMARITAN HOSPITAL OF LEBANON, PENNSYLVANIA
252 S 4TH ST
LEBANON, PA 170426111
7172707500
Source: CMS National Downloadable File, September 2026.