Medical school: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1346284601
Practice Locations (1)
POUDRE VALLEY MEDICAL GROUP LLC
1400 E BOULDER ST, SUITE 700 UCHMG CARDIO/CARDIAC SURG COL
COLORADO SPRINGS, CO 809095533
7196357172
Source: CMS National Downloadable File, September 2026.