Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1986
NPI: 1366443798
Practice Locations (1)
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
1000 10TH AVE
NEW YORK, NY 100191147
2125234000
Source: CMS National Downloadable File, September 2026.