Graduated: 1999
Also: ORAL SURGERY
NPI: 1982649356
Practice Locations (1)
UNIVERSITY OF PENN-MEDICAL GROUP
3400 SPRUCE STREET 5 WHITE BLDG, ORAL AND MAXILLOFACIAL SURGERY HUP
PHILADELPHIA, PA 191044206
2158296079
Source: CMS National Downloadable File, September 2026.