Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1984
NPI: 1770590929
Practice Locations (1)
NEW YORK SOCIETY FOR THE RELIEF OF RUPTURED AND CRIPPLED MAINTAIN
535 E 70TH ST
NEW YORK, NY 100214823
6467978973
Source: CMS National Downloadable File, September 2026.