Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 1997
NPI: 1245286673
Practice Locations (1)
LOOP 101 EMERGENCY PHYSICIANS LLC
19829 N 27TH AVE
PHOENIX, AZ 850274001
9549395000
Source: CMS National Downloadable File, September 2026.