Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1984
NPI: 1306939954
Practice Locations (1)
UNM MEDICAL GROUP INC
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 871062719
5052722111
Source: CMS National Downloadable File, September 2026.