Medical school: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated: 1983
NPI: 1821021783
Practice Locations (2)
3605 NORTHGATE CT, SUITE 102
NEW ALBANY, IN 471506400
5025854376
4001 KRESGE WAY, SUITE 330
LOUISVILLE, KY 402074640
5025854376
Source: CMS National Downloadable File, September 2026.