Medical school: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated: 1997
NPI: 1245204270
Practice Locations (1)
OPTUMCARE FLORIDA, LLC
4901 34TH ST S, OPTUM MARINA VILLAGE
ST PETERSBURG, FL 337114511
7278669945
Source: CMS National Downloadable File, September 2026.