Medical school: RUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated: 1997
NPI: 1003852716
Practice Locations (1)
SAN JUAN REGIONAL MEDICAL CENTER, INC.
634 W PINON ST, SJHP OB AND GYN 634
FARMINGTON, NM 874015915
5053254898
Source: CMS National Downloadable File, September 2026.