Medical school: NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2005
Also: CRITICAL CARE (INTENSIVISTS)
NPI: 1396986576
Practice Locations (1)
TEMPLE FACULTY PRACTICE PLAN INC
3401 N BROAD ST
PHILADELPHIA, PA 191405103
2157075030
Source: CMS National Downloadable File, September 2026.