Medical school: ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Graduated: 1994
NPI: 1083724413
Practice Locations (1)
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
764 LAKELAND DR, 2ND
JACKSON, MS 392164651
6018152005
Source: CMS National Downloadable File, September 2026.