Medical school: NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1987
NPI: 1306896246
Practice Locations (1)
SAN JUAN REGIONAL MEDICAL CENTER, INC.
407 S SCHWARTZ AVE, 202 SJRMC HEART CENTER
FARMINGTON, NM 874015925
5056096770
Source: CMS National Downloadable File, September 2026.