Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1995
Also: GENERAL SURGERY
NPI: 1265411227
Practice Locations (1)
OHI WEST MEDICAL GROUP LLC
625 6TH AVE S, SUITE 385
ST PETERSBURG, FL 337014665
7275537100
Source: CMS National Downloadable File, September 2026.