Graduated: 2010
NPI: 1093015661
Practice Locations (2)
RIVERSIDE RADIOLOGY AND INTERVENTIONAL ASSOCIATES INC
4720 BUCHANAN ST
HOLLYWOOD, FL 330215925
6143407740
SOMC MEDICAL CARE FOUNDATION, INC.
1805 27TH ST
PORTSMOUTH, OH 456622640
7403568681
Source: CMS National Downloadable File, September 2026.