Medical school: KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS
Graduated: 1996
Also: ALLERGY/IMMUNOLOGY, PLASTIC AND RECONSTRUCTIVE SURGERY
NPI: 1205982931
Practice Locations (1)
5420 STRICKLAND AVE
LAKELAND, FL 338124264
8637019510
Source: CMS National Downloadable File, September 2026.