Medical school: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated: 1996
Also: MAXILLOFACIAL SURGERY
NPI: 1417906777
Practice Locations (1)
NEW YORK UNIVERSITY
222 E 41ST ST, FL 22
NEW YORK, NY 100176739
2122637552
Source: CMS National Downloadable File, September 2026.