Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1989
NPI: 1275509101
Practice Locations (1)
BANNER-UNIVERSITY MEDICAL GROUP
1625 N CAMPBELL AVE
TUCSON, AZ 857194330
5206940111
Source: CMS National Downloadable File, September 2026.