Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1992
NPI: 1093926214
Practice Locations (2)
DHEW IND HLTH SV HLTH SVS AND MNTL HLTH ADM
4212 N 16TH ST
PHOENIX, AZ 850165319
6022631200
UNIVERSITY OF VERMONT MEDICAL CENTER INC
111 COLCHESTER AVE
BURLINGTON, VT 054011473
8028470000
Source: CMS National Downloadable File, September 2026.