Medical school: ILLINOIS MEDICAL COLLEGE
Graduated: 2009
Also: PHYSICAL MEDICINE AND REHABILITATION
NPI: 1881989069
Practice Locations (1)
NY SOCIETY FOR THE RELIEF OF RUPTURED AND CRIPPLED MAINTAINING
535 E 70TH ST
NEW YORK, NY 100214823
6467978471
Source: CMS National Downloadable File, September 2026.