Medical school: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1994
Offers telehealth
NPI: 1912958224
Practice Locations (1)
JEFFERSON UNIVERSITY PHYSICIANS
833 CHESTNUT ST E, 7TH FLR SUITE 701
PHILADELPHIA, PA 191075102
2159556180
Source: CMS National Downloadable File, September 2026.