Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 1990
Offers telehealth
NPI: 1366417669
Practice Locations (2)
4 CAMINO OSITO
SANTA FE, NM 875058100
5054714070
8300 TALBOT ST, APT 2B
KEW GARDENS, NY 114153516
7184407867
Source: CMS National Downloadable File, September 2026.