Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 2006
Also: PEDIATRIC MEDICINE
NPI: 1902020266
Practice Locations (1)
CITY OF PHILADELPHIA
321 W GIRARD AVE, HEALTH CARE CTR 6
PHILADELPHIA, PA 191231531
2156853808
Source: CMS National Downloadable File, September 2026.