Medical school: UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated: 1988
NPI: 1407903271
Practice Locations (2)
TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
622 W 168TH ST
NEW YORK, NY 100323720
2123054931
TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
622 W 168TH ST
NEW YORK, NY 100323796
6463177111
Source: CMS National Downloadable File, September 2026.