Medical school: UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduated: 1969
NPI: 1114958683
Practice Locations (2)
2010 GOLDRING AVE, SUITE 302
Las Vegas, NV 891064002
2010 GOLDRING AVE, SUITE 302
LAS VEGAS, NV 891064002
7023826970
Source: CMS National Downloadable File, September 2026.