Medical school: RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated: 1994
NPI: 1326048752
Practice Locations (2)
ESS OF PORT LAVACA LLC
815 N VIRGINIA ST
PORT LAVACA, TX 779793025
3615526713
GOVERNOR JUAN F LUIS HOSPITAL AND MEDICAL CENTER
4007 ESTATE DIAMOND RUBY
CHRISTIANSTED, VI 008204435
3407786311
Source: CMS National Downloadable File, September 2026.