Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated: 2004
NPI: 1043431026
Practice Locations (3)
210 N STATE ST, SUITE 3
CLARKS SUMMIT, PA 184111008
8179015472
281 AIRPORT RD
HAZLE TOWNSHIP, PA 182023320
8179015472
3319 LAKE ARIEL HWY
HONESDALE, PA 184311174
8179015472
Source: CMS National Downloadable File, September 2026.