Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 1998
Offers telehealth
NPI: 1447251939
Practice Locations (1)
RIDGEVIEW MEDICAL CENTER
111 HUNDERTMARK RD, SUITE 115N
CHASKA, MN 553181584
9524427820
Source: CMS National Downloadable File, September 2026.