Medical school: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated: 1975
Also: INTERNAL MEDICINE
NPI: 1386618536
Practice Locations (1)
PROVIDENCE MEDICAL GROUP, LLC
2723 S 7TH ST, SUITE A
TERRE HAUTE, IN 478023558
8122328164
Source: CMS National Downloadable File, September 2026.