Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 2002
NPI: 1760652911
Practice Locations (1)
WELLSPAN MEDICAL GROUP
252 S 4TH STREET 2ND FLOOR, WELLSPAN VASCULAR SURGERY
LEBANON, PA 170426111
7172703751
Source: CMS National Downloadable File, September 2026.