About
Headache is a symptom. Migraine is a complex neurological condition.
Headache medicine is a subspecialty, not a prescription. There are more than 200 distinct headache and facial pain disorders, and the diagnosis is rarely as simple as 'just a headache.'
Director, Center of Interventional Headache Medicine
I am a headache and facial pain specialist. That is the entirety of my practice.
After serving as chief resident during residency training, I pursued fellowship training in headache and facial pain medicine under Dr. Stewart Tepper at Dartmouth-Hitchcock. I later joined the faculty at Yale School of Medicine, where I co-directed the Headache & Facial Pain Fellowship and led headache medicine programs at the Stamford and Greenwich sites.
My early training provided a broad foundation across medicine. Headache medicine taught me where to focus.
My clinical work has been devoted exclusively to headache and facial pain disorders. I have cared for patients with migraine, cluster headache, trigeminal neuralgia, occipital neuralgia, post-traumatic headache, and other complex headache conditions, while helping train the next generation of headache neurologists.
Most patients who find me have already seen several clinicians and tried many treatments. That experience is not a failure of prior care; it is usually the reason a focused, subspecialty evaluation is needed. My role is to add that layer of depth, working alongside the providers you have already seen.
My practice is devoted entirely to headache and facial pain.
Clinical perspective
Why headache medicine is more complex than it looks.
There are more than 200 distinct headache and facial pain disorders. Many of them look alike at first glance — throbbing, pressure, one-sided, behind the eye — but each has its own biology, triggers, and treatment logic. Telling them apart is the work.
Migraine is a hereditary neurological condition that travels in families. The same genetic wiring that can make the nervous system vigilant and adaptable can also make it hypersensitive: ordinary light, sound, hormones, sleep changes, or weather shifts become triggers that last for hours or days. It is not a personality flaw or a stress reaction; it is biology, passed across generations, that has become disabling rather than protective.
Headache can also be the first warning of another condition — a CSF pressure disorder, a vascular or inflammatory problem, a connective tissue disorder, or hormonal and sleep disorders. Recognizing when pain is a symptom of something else, and when it is the primary disorder itself, is what the subspecialty is built for.
The diagnosis usually lives in the details of the history.
From that history — the pattern, the family story, the prior workup, and the triggers that are easy to miss — a clearer picture usually emerges. The goal is not just to treat the pain, but to understand the system producing it.
Training & appointments
Academic Leadership
Director, Center of Interventional Headache Medicine
Present
Interventional Neuro Associates, Long Island, New York
Assistant Professor of Clinical Neurology
2018–2026
Yale School of Medicine, Department of Neurology
Co-Director, Headache & Facial Pain Fellowship
Yale School of Medicine
Site Director, Headache Medicine
Yale Stamford & Greenwich
Training
Headache & Facial Pain Medicine Fellowship
Dartmouth-Hitchcock Medical Center · Mentored by Dr. Stewart Tepper
Chief Resident
Hofstra Northwell School of Medicine
Residency Training
Hofstra Northwell School of Medicine
Internship
Dartmouth-Hitchcock Medical Center
Education
MD, MPH
St. George's University · Public Health Practicum, Columbia University
Academic & peer inquiries
Fellowship, teaching, research, and media.
For peer consultation, fellowship or teaching matters, research collaboration, or media requests, please write directly rather than through the clinical office.
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