Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2004
NPI: 1619183316
Practice Locations (2)
MAIN LINE HEALTHCARE
130 S BRYN MAWR AVE
BRYN MAWR, PA 190103121
MAIN LINE HEALTHCARE
130 S BRYN MAWR AVE H, 321 GVH HOSPITAL MEDICAL SERVICES BRYN
BRYN MAWR, PA 190103121
4843374097
Source: CMS National Downloadable File, September 2026.