Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2004
Also: PEDIATRIC MEDICINE
NPI: 1750574927
Practice Locations (1)
NEW YORK SOCIETY FOR THE RELIEF OF RUPTURED AND CRIPPLED MAINTAINING
535 E 70TH ST
NEW YORK, NY 100214823
2127747598
Source: CMS National Downloadable File, September 2026.