Medical school: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1979
NPI: 1295746857
Practice Locations (2)
7700 MENAUL BLVD NE, SUITE D
ALBUQUERQUE, NM 871104639
7700 MENAUL BLVD NE D, ABQ PODIATRY
ALBUQUERQUE, NM 871104639
5052994487
Source: CMS National Downloadable File, September 2026.