Medical school: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1992
NPI: 1104814607
Practice Locations (1)
OAK STREET HEALTH PHYSICIANS GROUP OF NEW MEXICO LLC
333 MONTANO RD NW, SUITE A1
ALBUQUERQUE, NM 871075200
5057773003
Source: CMS National Downloadable File, September 2026.