Medical school: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated: 1990
NPI: 1336188341
Practice Locations (1)
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
2510 30TH AVE
ASTORIA, NY 111022448
7189321000
Source: CMS National Downloadable File, September 2026.