Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2004
NPI: 1386810117
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.