Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1989
Also: GENERAL SURGERY, PULMONARY DISEASE
NPI: 1881770253
Practice Locations (1)
KND DEVELOPMENT 59 LLC
6129 PALMETTO ST
PHILADELPHIA, PA 191115729
2157228555
Source: CMS National Downloadable File, September 2026.