Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 1996
NPI: 1033185301
Practice Locations (3)
ARIZONA STATE UROLOGICAL INSTITUTE LLC
910 E PECOS RD
CHANDLER, AZ 852252461
4803940200
ARIZONA STATE UROLOGICAL INSTITUTE LLC
2730 S VAL VISTA DR BLDG, 13 SUITE 177
Gilbert, AZ 852951675
ARIZONA STATE UROLOGICAL INSTITUTE LLC
2730 S VAL VISTA DR, SUITE 177
GILBERT, AZ 852951683
4803940200
Source: CMS National Downloadable File, September 2026.