Medical school: UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduated: 2010
NPI: 1104141233
Practice Locations (1)
SAN JUAN REGIONAL MEDICAL CENTER, INC.
2300 E 30TH ST, 102 SJRMC NEUROLOGY
FARMINGTON, NM 874018991
5056096790
Source: CMS National Downloadable File, September 2026.