Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 2004
Also: INTERNAL MEDICINE
NPI: 1104093780
Practice Locations (2)
330 E 73RD ST, APT 6
NEW YORK, NY 100214482
PO BOX, SUITE 286689
NEW YORK, NY 101280016
Source: CMS National Downloadable File, September 2026.