Medical school: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2004
NPI: 1124161740
Practice Locations (2)
PO BOX, SUITE 92200
Albuquerque, NM 871992200
PO BOX, SUITE 92200
ALBUQUERQUE, NM 87199
Source: CMS National Downloadable File, September 2026.