Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2002
NPI: 1063672194
Practice Locations (1)
BANNER-UNIVERSITY MEDICAL GROUP
3838 N CAMPBELL AVE, BLDG 1
TUCSON, AZ 857191454
5206942873
Source: CMS National Downloadable File, September 2026.