Medical school: UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Graduated: 2002
NPI: 1477755916
Practice Locations (1)
NORTHWESTERN MEDICAL FACULTY FOUNDATION
676 N ST CLAIR, 1600 DEPT OF DERMATOLOGY
CHICAGO, IL 606112997
3126958106
Source: CMS National Downloadable File, September 2026.