Medical school: ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Graduated: 1995
NPI: 1184605859
Practice Locations (1)
BANNER PHYSICIAN SUPER SPECIALISTS ARIZONA LLC
5310 W THUNDERBIRD RD, SUITE 110
GLENDALE, AZ 853064709
6028654065
Source: CMS National Downloadable File, September 2026.