Medical school: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated: 1982
NPI: 1245270230
Practice Locations (2)
16611 S 40TH ST
PHOENIX, AZ 850480565
4807858000
16611 S 40TH ST, SUITE 170
PHOENIX, AZ 850480565
Source: CMS National Downloadable File, September 2026.