Medical school: DREXEL UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1989
NPI: 1104888684
Practice Locations (3)
PO BOX, SUITE 713350
CHICAGO, IL 606771392
1951 BIDHOP LN, FL 4
LOUISVILLE, KY 402181923
1122 NE 13TH ST
OKLAHOMA CITY, OK 731171039
Source: CMS National Downloadable File, September 2026.