Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2001
NPI: 1073554614
Practice Locations (1)
NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE
5030 BROADWAY
NEW YORK, NY 100341609
2126046575
Source: CMS National Downloadable File, September 2026.