Graduated: 2012
NPI: 1659721884
Practice Locations (2)
JEFFERSON UNIVERSITY PHYSICIANS
909 WALNUT ST, 2ND FLOOR
PHILADELPHIA, PA 191075211
2159557000
WELLSPAN MEDICAL GROUP
228 ST CHARLES WAY, 200 WELLSPAN NEUROLOGY
YORK, PA 174024661
7178515503
Source: CMS National Downloadable File, September 2026.