Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1992
Also: CRITICAL CARE (INTENSIVISTS)
NPI: 1063490217
Practice Locations (1)
PHYSICIAN AFFILIATE GROUP OF NEW YORK PC
506 LENOX AVE
NEW YORK, NY 100371802
2129391840
Source: CMS National Downloadable File, September 2026.