Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2000
NPI: 1134175854
Practice Locations (4)
NORTH WALTON RURAL HOSPITAL LLC
4413 US HWY 331 S
DEFUNIAK SPRINGS, FL 324356307
8509202065
POMONA VALLEY IMAGING MEDICAL GROUP INC
11 WATCHUNG RD
SHORT HILLS, NJ 070783029
9098659500
EAGLE BUTTE INDIAN HEALTH SERVICE HOSPITAL
24276 166TH AIRPORT RD
EAGLE BUTTE, SD 576251022
60596477240515
EAGLE BUTTE INDIAN HEALTH SERVICE HOSPITAL
PO BOX, SUITE 1012
EAGLE BUTTE, SD 576251012
Source: CMS National Downloadable File, September 2026.