Medical school: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1986
NPI: 1164432274
Practice Locations (2)
OHI WEST MEDICAL GROUP II LLC
13417 US HWY 301, SUITE 101
DADE CITY, FL 335255446
3525675136
LEGACY HEALTHCARE SERVICES INC
17470 BROOKSIDE TRACE CT
TAMPA, FL 336476201
8134435042
Source: CMS National Downloadable File, September 2026.