Medical school: ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Graduated: 1976
NPI: 1619043973
Practice Locations (1)
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
655 WATKINS MILL RD
GAITHERSBURG, MD 208793301
2406324000
Source: CMS National Downloadable File, September 2026.