Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 1985
Also: VASCULAR SURGERY
NPI: 1033292461
Practice Locations (1)
HOSPITAL SERVICE DISTRICT 2 OF LASALLE PARISH
187 9TH ST
JENA, LA 713423900
3189929200
Source: CMS National Downloadable File, September 2026.