Medical school: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated: 2008
NPI: 1962661819
Practice Locations (1)
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
5 E 98TH ST, FL 6
NEW YORK, NY 100296501
2122412221
Source: CMS National Downloadable File, September 2026.