Medical school: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1996
Also: EMERGENCY MEDICINE, HOSPITALIST
Offers telehealth
NPI: 1447205281
Practice Locations (1)
INTERCOASTAL MEDICAL GROUP INC
11505 RANGELAND PKWY
BRADENTON, FL 342114041
9419076016
Source: CMS National Downloadable File, September 2026.