Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 1990
NPI: 1912998428
Practice Locations (3)
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
1 GUSTAVE LEVY PLACE, MOUNT SINAI EMERGENCY ROOM
NEW YORK, NY 100296500
2122414572
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
10 UNION SQ E
NEW YORK, NY 100033314
2128448888
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
1000 10TH AVE
NEW YORK, NY 100191147
2125236521
Source: CMS National Downloadable File, September 2026.