Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 2000
NPI: 1629093299
Practice Locations (1)
UNIVERSITY OF PENN-MEDICAL GROUP
3400 CIVIC CTR BLVD, SUITE 1 330S
PHILADELPHIA, PA 191045132
2156622737
Source: CMS National Downloadable File, September 2026.