Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1991
NPI: 1053377333
Practice Locations (2)
6420 CLAYTON RD
RICHMOND HEIGHTS, MO 631171811
3147688000
3915 WATSON RD
SAINT LOUIS, MO 631091251
3147715822
Source: CMS National Downloadable File, September 2026.