Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2002
NPI: 1568527612
Practice Locations (1)
WEILL MEDICAL COLLEGE OF CORNELL
525 E 68TH ST BOX, 585 CORNELL UNIVERSITY MED COLLEGE
NEW YORK, NY 100214870
2127462059
Source: CMS National Downloadable File, September 2026.