Medical school: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1987
NPI: 1851404255
Practice Locations (1)
SUSQUEHANNA PHYSICIAN SERVICES
1705 WARREN AVE, 206 SUSQUEHANNA HEALTH UROLOGY
WILLIAMSPORT, PA 177012664
5703268090
Source: CMS National Downloadable File, September 2026.