Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 2005
NPI: 1669510293
Practice Locations (1)
STONY BROOK ANAESTHESIOLOGY UNIVERSITY FACULTY PRACTICE CORPORATION
100 NICOLLS RD
STONY BROOK, NY 117948480
6314442975
Source: CMS National Downloadable File, September 2026.