Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 1994
NPI: 1750328126
Practice Locations (2)
YALE UNIVERSITY
1450 CHAPEL ST B
NEW HAVEN, CT 065114405
20386754204405
YALE UNIVERSITY
800 HOWARD AVE
NEW HAVEN, CT 065191369
2037852140
Source: CMS National Downloadable File, September 2026.