Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 1994
NPI: 1972695492
Practice Locations (2)
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
1 GUSTAVE L LEVY PL (KCC
NEW YORK, NY 100296508
2122418545
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
5 E 98TH ST, FL 8
NEW YORK, NY 100296501
2127316870
Source: CMS National Downloadable File, September 2026.