Medical school: LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduated: 1969
Also: MAXILLOFACIAL SURGERY
NPI: 1912074543
Practice Locations (1)
74 E 79TH ST, APT 1A
NEW YORK, NY 100750266
2122492848
Source: CMS National Downloadable File, September 2026.