Medical school: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1295782076
Practice Locations (2)
DREXEL UNIVERSITY
1427 VINE ST
PHILADELPHIA, PA 191021031
DREXEL UNIVERSITY
1427 VINE ST, FL 5
PHILADELPHIA, PA 191021003
2157622530
Source: CMS National Downloadable File, September 2026.