Medical school: UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated: 2002
NPI: 1164519583
Practice Locations (1)
GILA RIVER HEALTH CARE CORPORATION
17487 S HEALTH CARE DR, HU HU KAM MEMORIAL HOSPITAL
LAVEEN, AZ 853390038
5205506000
Source: CMS National Downloadable File, September 2026.