Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1986
NPI: 1346354511
Practice Locations (1)
5110 SAN FRANCISCO RD NE
ALBUQUERQUE, NM 871094640
5055158033
Source: CMS National Downloadable File, September 2026.