Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1982
NPI: 1346275203
Practice Locations (2)
330 FOXFIRE CT
QUINCY, FL 323518864
2613 S MONROE ST
TALLAHASSEE, FL 323016308
Source: CMS National Downloadable File, September 2026.