Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 1994
NPI: 1821025370
Practice Locations (2)
270 E HUNT HWY, SUITE 16 110
SANTAN VALLEY, AZ 851434964
609 MORRIS AVE
SPRINGFIELD, NJ 070811511
Source: CMS National Downloadable File, September 2026.