Medical school: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated: 1997
NPI: 1578765962
Practice Locations (1)
UNIVERSITY OF PENN-MEDICAL GROUP
51 N 39TH ST
PHILADELPHIA, PA 191042640
2156628928
Source: CMS National Downloadable File, September 2026.