Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1987
NPI: 1871563940
Practice Locations (2)
UNIVERSITY OF PENN-MEDICAL GROUP
1800 LOMBARD ST
PHILADELPHIA, PA 191461414
2156623202
UNIVERSITY OF PENN-MEDICAL GROUP
3400 SPRUCE ST
PHILADELPHIA, PA 191044238
2153498310
Source: CMS National Downloadable File, September 2026.