Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 1997
Offers telehealth
NPI: 1194774257
Practice Locations (1)
NORTH SHORE-LIJ MEDICAL PC
1723 N OCEAN AVE
MEDFORD, NY 117632687
6317585858
Source: CMS National Downloadable File, September 2026.