Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1978
Also: PEDIATRIC MEDICINE
NPI: 1871570226
Practice Locations (1)
TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
622 W 168TH ST
NEW YORK, NY 100323720
2123059876
Source: CMS National Downloadable File, September 2026.