Medical school: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated: 1995
Also: SPORTS MEDICINE
NPI: 1639171911
Practice Locations (1)
UPPER EAST ORTHOPAEDICS PC
315 E 83RD ST
NEW YORK, NY 100284301
2129869200
Source: CMS National Downloadable File, September 2026.