Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 1994
NPI: 1538230990
Practice Locations (1)
DERMATOLOGY AND SKIN CANCER CENTER
3302 GERIG DR, SUITE 100
BLOOMINGTON, IL 617046343
3095337070
Source: CMS National Downloadable File, September 2026.