Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 1995
NPI: 1265548416
Practice Locations (2)
7521 WESTBANK EXPY
MARRERO, LA 700722300
5043285466
7521 WESTBANK EXPY E
MARRERO, LA 700722300
Source: CMS National Downloadable File, September 2026.