Medical school: WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1991
NPI: 1285682856
Practice Locations (2)
MESCALERO INDIAN HOSPITAL
318 ABALONE LOOP
MESCALERO, NM 883409213
5754644441
OSH - PA PHYSICIANS GROUP, PC
3621 ARAMINGO AVE
PHILADELPHIA, PA 191344607
3126008484
Source: CMS National Downloadable File, September 2026.