National Provider Identifier (NPI):
1306878269
License Number:
5101011513
Medical School:
Univ Of New England, Coll Of Osteo Med, Biddeford Me 04005
Residency Training:
Mem Sloan-Kettering Cancer Ctr, Urology; St Luke'S Hosp Allentown Cmpus, General Surgery; Doctors Hosp North-Core, Flexible Or Transitional Year