Medical school: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated: 1995
NPI: 1134157340
Practice Locations (1)
INTEGRIS AMBULATORY CARE CORPORATION
3433 NW 56TH ST, SUITE 900
OKLAHOMA CITY, OK 731124452
4055520401
Source: CMS National Downloadable File, September 2026.