Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated: 1997
NPI: 1376543876
Practice Locations (1)
CAPITAL CITY MEDICAL GROUP, L.L.C.
2633 NAPOLEON AVE, SUITE 400
NEW ORLEANS, LA 701156340
5048973305
Source: CMS National Downloadable File, September 2026.