Medical school: UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduated: 1972
NPI: 1265422703
Practice Locations (2)
3003 LOUISIANA BLVD NE
Albuquerque, NM 871102734
3003 LOUISANA BLVD NE
ALBUQUERQUE, NM 871102734
5058810404
Source: CMS National Downloadable File, September 2026.