Graduated: 1992
NPI: 1326084328
Practice Locations (2)
STATE OF NEVADA
1665 OLD HOT SPRINGS RD, SUITE 150
CARSON CITY, NV 897060668
7756870870
STATE OF NEVADA
1909 S JONES BLVD
LAS VEGAS, NV 891461260
7024866112
Source: CMS National Downloadable File, September 2026.