Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 1988
NPI: 1275507204
Practice Locations (1)
UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER-FACILTY-PHYSICIAN
11937 US HWY 271
TYLER, TX 757083154
9038777200
Source: CMS National Downloadable File, September 2026.