Graduated: 2005
NPI: 1144547134
Practice Locations (2)
UNITED HEALTH SERVICES HOSPITALS, INC.
30 HARRISON ST, SUITE 400
JOHNSON CITY, NY 137902176
6077638102
UTMB FACULTY GROUP PRACTICE
1005 HARBORSIDE DR FL, SUITE 6
GALVESTON, TX 775550001
4097720122
Source: CMS National Downloadable File, September 2026.