National Provider Identifier (NPI):
1760451827
License Number:
25MA07065900
Medical School:
Suny-Hlth Sci Ctr At Syracuse, Coll Of Med, Syracuse Ny 13210, St Lawrence University Ny
Residency Training:
Umdnj-New Jersey Med Sch, Urology; Umdnj-New Jersey Med Sch, General Surgery