Medical school: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated: 1994
NPI: 1326129206
Practice Locations (1)
EMERGENCY MEDICINE SERVICES OF KS PA
10310 W 63RD ST, OVERLAND PARK REGIONAL MEDICAL CENTER ER OF
SHAWNEE, KS 662033502
9132278400
Source: CMS National Downloadable File, September 2026.