Medical school: NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated: 2000
NPI: 1013980952
Practice Locations (3)
PO BOX, SUITE 70700
FORT LAUDERDALE, FL 33307
4725 N FEDERAL HWY, MANAGED CARE
FT. LAUDERDALE, FL 33308
14201 DALLAS PKWY
DALLAS, TX 752542916
Source: CMS National Downloadable File, September 2026.