Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 2001
NPI: 1508304155
Practice Locations (3)
66 W GILBERT ST
TINTON FALLS, NJ 077014948
777 LAWNDRES HILL RD
GREENVILLE, SC 296072101
777 LOWNDES HILL RD, BLDG 1
GREENVILLE, SC 296072131
Source: CMS National Downloadable File, September 2026.