Medical school: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1977
Also: CRITICAL CARE (INTENSIVISTS)
NPI: 1285639898
Practice Locations (1)
OHI WEST MEDICAL GROUP LLC
603 7TH ST S, SUITE 500
ST PETERSBURG, FL 337014734
7278936254
Source: CMS National Downloadable File, September 2026.