Medical school: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated: 1989
NPI: 1942301759
Practice Locations (2)
550 EAGLES LANDING PKWY, SUITE 108 112
STOCKBRIDGE, GA 302819081
7703899494
550 EAGLES LANDING PKWY, SUITE 110
STOCKBRIDGE, GA 302819083
Source: CMS National Downloadable File, September 2026.