Medical school: JS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
Graduated: 1998
NPI: 1972554624
Practice Locations (2)
DREXEL UNIVERSITY
1427 VINE ST
PHILADELPHIA, PA 191021031
DREXEL UNIVERSITY
1427 VINE ST, FL 5
PHILADELPHIA, PA 191021003
2157622530
Source: CMS National Downloadable File, September 2026.